Provider Demographics
NPI:1538244132
Name:FIGUEROA MEDICAL CENTER INC
Entity type:Organization
Organization Name:FIGUEROA MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-362-6696
Mailing Address - Street 1:50 W 29TH ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-5736
Mailing Address - Country:US
Mailing Address - Phone:305-362-6696
Mailing Address - Fax:305-888-7232
Practice Address - Street 1:50 W 29TH ST
Practice Address - Street 2:SUITE 4
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-5736
Practice Address - Country:US
Practice Address - Phone:305-362-6696
Practice Address - Fax:305-888-7232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6130261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK9515Medicare ID - Type UnspecifiedMEDICARE B