Provider Demographics
NPI:1528745080
Name:ONE PREMIER CENTER INC
Entity type:Organization
Organization Name:ONE PREMIER CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUBISNEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-210-1957
Mailing Address - Street 1:5901 NW 183RD ST STE 204
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-6007
Mailing Address - Country:US
Mailing Address - Phone:754-210-1957
Mailing Address - Fax:
Practice Address - Street 1:5901 NW 183RD ST STE 204
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-6007
Practice Address - Country:US
Practice Address - Phone:754-210-1957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies