Provider Demographics
NPI:1871737890
Name:VENUS HEALTH CENTER, CORP.
Entity type:Organization
Organization Name:VENUS HEALTH CENTER, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:IDANIA
Authorized Official - Middle Name:CARIDAD
Authorized Official - Last Name:ESCANIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-229-8512
Mailing Address - Street 1:2450 SW 137TH AVE
Mailing Address - Street 2:SUITE #226
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-8802
Mailing Address - Country:US
Mailing Address - Phone:305-229-8512
Mailing Address - Fax:305-229-8513
Practice Address - Street 1:2450 SW 137TH AVE
Practice Address - Street 2:SUITE #226
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-8802
Practice Address - Country:US
Practice Address - Phone:305-229-8512
Practice Address - Fax:305-229-8513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL207QG0300XOtherGENERAL PRACTICE