Provider Demographics
NPI:1184784613
Name:NEW WORLD MEDICAL CENTER, INC
Entity type:Organization
Organization Name:NEW WORLD MEDICAL CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:MADRUGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-588-2934
Mailing Address - Street 1:5881 NW 151ST ST
Mailing Address - Street 2:SUITE 218
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2450
Mailing Address - Country:US
Mailing Address - Phone:305-557-4494
Mailing Address - Fax:
Practice Address - Street 1:5881 NW 151ST ST
Practice Address - Street 2:SUITE 218
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2450
Practice Address - Country:US
Practice Address - Phone:305-557-4494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC7344261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center