Premium Care Doctors Corp.
LBN: Premium Care Doctors Corp.
Premium Care Doctors Corp. is an health care organization with primary practice located at 1816 E 4Th Ave , Hialeah FL 33010-3115. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Premium Care Doctors Corp. can be contacted via phone (305) 805-0012, or through Galguera, Manuel Alfredo via phone (305) 805-0012.
Contact Information
Primary practice address
1816 E 4Th Ave
Hialeah FL 33010-3115
Phone: (305) 805-0012
Fax: (305) 883-9003
Website:
Authorized official contact:
Name: Galguera, Manuel Alfredo Doctor of Medicine (MD)
Phone: (305) 805-0012
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X |
Profile Details
| NPI number | 1174695449 |
|---|---|
| LBN Legal business name | Premium Care Doctors Corp. |
| DBA Doing business as | |
| Authorized official | Galguera, Manuel Alfredo Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Aug 3rd, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174695449 | NPPES |
| Florida | MEDICAID | 258699100 |
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