Provider Demographics
NPI:1891538567
Name:MIAMI CENTER FOR ORTHOPEDIC CARE
Entity type:Organization
Organization Name:MIAMI CENTER FOR ORTHOPEDIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:BALAGUER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-531-4955
Mailing Address - Street 1:7325 SW 78TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4023
Mailing Address - Country:US
Mailing Address - Phone:305-426-4263
Mailing Address - Fax:305-602-8225
Practice Address - Street 1:3650 NW 82ND AVE STE 201
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6662
Practice Address - Country:US
Practice Address - Phone:305-426-4263
Practice Address - Fax:305-602-8225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty