Organization
MIAMI RESCUE MISSION CLINIC INC
Active
Organization
MIAMI RESCUE MISSION CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETE ALFREDO GUTIERREZ MD (PRESIDENT)
(305) 572-2026
Entity
Organization
Contact information
Practice address
2015 NW 1ST AVE, MIAMI, FL 33127-4901
(305) 572-2026
(305) 572-2025
Mailing address
2015 NW 1ST AVE, MIAMI, FL 33127-4901
(305) 572-2026
(305) 572-2025
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
ACN298
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013928985
APPLY FOR MEDICARE
FL
Enumeration date
06/24/2011
Last updated
06/24/2011
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