Provider Demographics
NPI:1063714806
Name:THE HAMMOCKS MEDICAL OFFICES INC
Entity type:Organization
Organization Name:THE HAMMOCKS MEDICAL OFFICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CUELLO-FUENTES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-385-5582
Mailing Address - Street 1:10201 HAMMOCKS BLVD
Mailing Address - Street 2:SUITE 123
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-4712
Mailing Address - Country:US
Mailing Address - Phone:305-385-5582
Mailing Address - Fax:305-385-5787
Practice Address - Street 1:10201 HAMMOCKS BLVD
Practice Address - Street 2:SUITE 123
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-4712
Practice Address - Country:US
Practice Address - Phone:305-385-5582
Practice Address - Fax:305-385-5787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-30
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty