Basic Information
| Provider Information | |||||||||
| NPI: | 1578690699 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DOCTORS HOSPITAL CARDIOLOGY ASSN. OF CORAL GABLES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8353 SW 124TH ST | ||||||||
| Address2: | SUITE 208 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331565851 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052359078 | ||||||||
| FaxNumber: | 3052358290 | ||||||||
| Practice Location | |||||||||
| Address1: | 5000 UNIVERSITY DR | ||||||||
| Address2: | |||||||||
| City: | CORAL GABLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331462008 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3056662111 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2007 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | PABALAN | ||||||||
| AuthorizedOfficialFirstName: | STEVEN | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3056656926 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.