Provider Demographics
NPI:1023360146
Name:ROYAL CARE MEDICAL CENTER INC
Entity type:Organization
Organization Name:ROYAL CARE MEDICAL CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:S
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-953-6415
Mailing Address - Street 1:9700 SW 8TH ST
Mailing Address - Street 2:SUITE 9
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2902
Mailing Address - Country:US
Mailing Address - Phone:786-953-6415
Mailing Address - Fax:786-953-6515
Practice Address - Street 1:9700 SW 8TH ST
Practice Address - Street 2:SUITE 9
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2902
Practice Address - Country:US
Practice Address - Phone:786-953-6415
Practice Address - Fax:786-953-6515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83615261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME83615OtherMEDICAL DOCTOR