Provider Demographics
NPI:1902110844
Name:KEY BISCAYNE MEDICAL CENTER INC
Entity Type:Organization
Organization Name:KEY BISCAYNE MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-860-1030
Mailing Address - Street 1:PO BOX 348447
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33234-8447
Mailing Address - Country:US
Mailing Address - Phone:305-860-1030
Mailing Address - Fax:305-856-0029
Practice Address - Street 1:3661 S MIAMI AVE STE 510
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4200
Practice Address - Country:US
Practice Address - Phone:305-860-1030
Practice Address - Fax:305-856-0029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME73731207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty