Provider Demographics
NPI:1285464347
Name:CEDIMAT
Entity type:Organization
Organization Name:CEDIMAT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MILAGROS
Authorized Official - Middle Name:
Authorized Official - Last Name:URENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-526-9751
Mailing Address - Street 1:PO BOX 39192
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339-9192
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ARTURO LOGRONO, PLAZA DE LA SALUD, DR. JUAN TAVERAS
Practice Address - Street 2:C. PEPILLO SALCEDO ESQ.
Practice Address - City:SANTO DOMINGO
Practice Address - State:DOMINICAN REPUBLIC
Practice Address - Zip Code:99999
Practice Address - Country:DO
Practice Address - Phone:809-565-9989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access