Provider Demographics
NPI:1871788380
Name:BISCAYNE PARK MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:BISCAYNE PARK MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDIENT
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:IRIBAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-926-2900
Mailing Address - Street 1:11900 W DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-6110
Mailing Address - Country:US
Mailing Address - Phone:305-685-8899
Mailing Address - Fax:305-899-1325
Practice Address - Street 1:11900 WEST DXIE HGIHWAY
Practice Address - Street 2:
Practice Address - City:N. MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161
Practice Address - Country:US
Practice Address - Phone:305-685-8899
Practice Address - Fax:305-899-1325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty