Provider Demographics
NPI:1588099758
Name:OP MEDICAL CENTER INC
Entity type:Organization
Organization Name:OP MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:HERMES
Authorized Official - Middle Name:OJEDA
Authorized Official - Last Name:PULIDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-300-5161
Mailing Address - Street 1:5755 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-3441
Mailing Address - Country:US
Mailing Address - Phone:305-300-5161
Mailing Address - Fax:305-261-3626
Practice Address - Street 1:5755 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-3441
Practice Address - Country:US
Practice Address - Phone:305-300-5161
Practice Address - Fax:305-261-3626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy