OrganizationPac Medical CenterClinic/CenterAmbulatory Health Care FacilitiesPractice Address4311 Palm Ave Ste 3, Hialeah, FL 33012-4021(305) 823-7740PECOS EnrollmentBased on the most recent information from CMS, provider Pac Medical Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1700811379Provider TypeOrganizationFull NamePac Medical CenterSubpartNoEnumeration Date7/12/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address4311 Palm Ave Ste 3, Hialeah, FL 33012-4021Phone(305) 823-7740Fax(305) 823-8524Mailing LocationMailing Address4311 Palm Ave Ste 3, Hialeah, FL 33012-4021Phone(305) 823-7740Fax(305) 823-8524Authorized OfficialNameHernandez, Juan Julio (President)Phone(305) 823-7740Provider TaxonomiesCodeDescriptionLicenseCode261Q00000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer