Provider Demographics
NPI:1184776650
Name:UNIVERSITY HOPE MEDICAL CENTER INC
Entity type:Organization
Organization Name:UNIVERSITY HOPE MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICEPRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA PEDRAJA
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:305-267-6027
Mailing Address - Street 1:1062 NW 134TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-2280
Mailing Address - Country:US
Mailing Address - Phone:305-267-6027
Mailing Address - Fax:305-267-6020
Practice Address - Street 1:255 PARK BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-8009
Practice Address - Country:US
Practice Address - Phone:305-267-6027
Practice Address - Fax:305-267-6020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL594839-4261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU2119YMedicare ID - Type Unspecified
FLE4897ZMedicare ID - Type Unspecified