Provider Demographics
NPI:1699047415
Name:CLINICA CORAZONES UNIDOS
Entity type:Organization
Organization Name:CLINICA CORAZONES UNIDOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:A
Authorized Official - Last Name:MENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-931-1717
Mailing Address - Street 1:C/O: BM 0300731 8400 NW 25ST. SUITE 110
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122
Mailing Address - Country:US
Mailing Address - Phone:407-931-1717
Mailing Address - Fax:
Practice Address - Street 1:CALLE FANTINO FALCO # 21 ENSANCHE NACO
Practice Address - Street 2:
Practice Address - City:SANTO DOMINGO
Practice Address - State:SANTO DOMINGO
Practice Address - Zip Code:NONE
Practice Address - Country:DO
Practice Address - Phone:407-931-1717
Practice Address - Fax:407-931-2121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-09
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital