Provider Demographics
NPI:1902430127
Name:L GLOBAL MEDICAL CENTER CORP
Entity Type:Organization
Organization Name:L GLOBAL MEDICAL CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINA
Authorized Official - Middle Name:CARIDAD
Authorized Official - Last Name:GONZALEZ GARCES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-661-2971
Mailing Address - Street 1:3408 W 84TH ST STE 301
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4943
Mailing Address - Country:US
Mailing Address - Phone:786-661-2971
Mailing Address - Fax:786-520-3088
Practice Address - Street 1:3408 W 84TH ST STE 301
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-4943
Practice Address - Country:US
Practice Address - Phone:786-661-2971
Practice Address - Fax:786-520-3088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy