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D.J. Mediacal Center

Clinic/Center

Ambulatory Health Care Facilities

1140 W 50th St, Suite 400 B, Hialeah, FL 33012-3440

PECOS Enrollment

Based on the most recent information from CMS, provider D.J. Mediacal Center does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1730132796
Provider Type
Organization
Full Name
D.J. Mediacal Center

Subpart
No
Enumeration Date
5/18/2006
Last Updated
8/22/2020

Contact Information

Practice Location

1140 W 50th St, Suite 400 B, Hialeah, FL 33012-3440

(305) 556-3536

(305) 556-3592

Mailing Location

1140 W 50th St, Suite 400 B, Hialeah, FL 33012-3440

(305) 556-3536

(305) 556-3592

Authorized Official

Diaz, Osvaldo (President)

(305) 556-3536

Provider Taxonomies

Code	Description	License
Code 261Q00000X Primary	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer

D.J. Mediacal Center

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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Description

License

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License

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