Organization
MEDCARE QUALITY MEDICAL CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL IGLESIAS (CEO)
(786) 641-5348
Entity
Organization
Contact information
Practice address
900 W 49 ST, SUITE # 101, HIALEAH, FL 33012
(305) 266-2929
Mailing address
8750 NW 36TH STREET, SUITE 300, DORAL, FL 33178
(786) 641-5348
(305) 615-1121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01775300
—
FL
Enumeration date
05/04/2015
Last updated
06/12/2017
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