Provider Demographics
NPI:1063910230
Name:SERVICIOS MEDICOS PARA TODOS S.A. DE C.V.
Entity type:Organization
Organization Name:SERVICIOS MEDICOS PARA TODOS S.A. DE C.V.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SERVICIO AL PACIENTE
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:GARRIDO HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-903-7445
Mailing Address - Street 1:PO BOX 11577
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339-1577
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:872-874 AV. LOPEZ PORTILLO SM 59 MZ 37
Practice Address - Street 2:UNIDAD MORELOS ENTRE AV. KABAH Y AV. COMALCALCO
Practice Address - City:CANCUN
Practice Address - State:QUINTANA ROO
Practice Address - Zip Code:77515
Practice Address - Country:MX
Practice Address - Phone:998-843-5454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-23
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital