Provider Demographics
NPI:1063944189
Name:VANAD MEDICAL CENTERS LLC
Entity type:Organization
Organization Name:VANAD MEDICAL CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-281-0544
Mailing Address - Street 1:275 FONTAINEBLEAU BLVD
Mailing Address - Street 2:255
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-4591
Mailing Address - Country:US
Mailing Address - Phone:305-603-7547
Mailing Address - Fax:786-431-5365
Practice Address - Street 1:275 FONTAINEBLEAU BLVD
Practice Address - Street 2:255
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-4591
Practice Address - Country:US
Practice Address - Phone:305-603-7547
Practice Address - Fax:786-431-5365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy