Provider Demographics
NPI:1902967110
Name:BEST CARE FOR YOUR HEALTH MEDICAL CENTER
Entity Type:Organization
Organization Name:BEST CARE FOR YOUR HEALTH MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:
Authorized Official - Last Name:OTERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-234-9024
Mailing Address - Street 1:4201 PALM AVE
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4424
Mailing Address - Country:US
Mailing Address - Phone:305-512-8606
Mailing Address - Fax:305-512-8656
Practice Address - Street 1:4201 PALM AVE
Practice Address - Street 2:SUITE 2D
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4424
Practice Address - Country:US
Practice Address - Phone:305-512-8606
Practice Address - Fax:305-512-8656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6555261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK8668Medicare ID - Type UnspecifiedPROVIDER