Organization
PURA VIDA MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NURY CARBAJAL (CEO)
(305) 874-3909
Entity
Organization
Contact information
Practice address
1738 W 49TH ST STE 10, HIALEAH, FL 33012-3457
(305) 698-8432
Mailing address
1738 W 49TH ST STE 7-12, HIALEAH, FL 33012-3456
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
02/12/2020
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