Provider Demographics
NPI:1427266360
Name:SOUTH-DADE MEDICAL CARE CENTER, INC.
Entity type:Organization
Organization Name:SOUTH-DADE MEDICAL CARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:LILIA
Authorized Official - Last Name:DEL AMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-596-9121
Mailing Address - Street 1:9240 SW 72 STREET
Mailing Address - Street 2:#240
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3265
Mailing Address - Country:US
Mailing Address - Phone:305-596-9121
Mailing Address - Fax:305-596-6730
Practice Address - Street 1:9240 SW 72 STREET
Practice Address - Street 2:#240
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3265
Practice Address - Country:US
Practice Address - Phone:305-596-9121
Practice Address - Fax:305-596-6730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty