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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