Provider Demographics
NPI:1427429679
Name:A & C MEDICAL CENTER SERVICES, CORP
Entity type:Organization
Organization Name:A & C MEDICAL CENTER SERVICES, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REINIER
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-629-8001
Mailing Address - Street 1:2550 NW 72ND AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1330
Mailing Address - Country:US
Mailing Address - Phone:305-629-8001
Mailing Address - Fax:305-629-8002
Practice Address - Street 1:2550 NW 72ND AVE STE 208
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1330
Practice Address - Country:US
Practice Address - Phone:305-629-8001
Practice Address - Fax:305-629-8002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation