Provider Demographics
NPI:1194260356
Name:G & G MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:G & G MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GARROTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-703-9779
Mailing Address - Street 1:8080 W FLAGLER ST
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2100
Mailing Address - Country:US
Mailing Address - Phone:786-703-9779
Mailing Address - Fax:786-703-9784
Practice Address - Street 1:8080 W FLAGLER ST
Practice Address - Street 2:SUITE 3A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2100
Practice Address - Country:US
Practice Address - Phone:786-703-9779
Practice Address - Fax:786-703-9784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC10066335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier