Provider Demographics
NPI:1386135564
Name:ONEPLUS MEDICAL CENTERS, LLC.
Entity type:Organization
Organization Name:ONEPLUS MEDICAL CENTERS, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:HSA
Authorized Official - Phone:305-651-1690
Mailing Address - Street 1:581 NW 183RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4469
Mailing Address - Country:US
Mailing Address - Phone:305-651-1690
Mailing Address - Fax:305-652-4457
Practice Address - Street 1:581 NW 183RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4469
Practice Address - Country:US
Practice Address - Phone:305-651-1690
Practice Address - Fax:305-652-4457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96435207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty