NPI 1154151496

La Colonia Medical Center INC

Organisation General Practice Physician Pompano Beach, FL

Practice location

Address: 2301 W Sample Rd Bldg 1, Pompano Beach, FL 33073-3081
Phone: (305) 608-1082
Mailing address: 167 W 23rd St, Hialeah, FL 33010-2211

Authorised official

Name: Yenin Acevedo
Title: Owner
Phone: (305) 509-2370

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1154151496
Entity type: Organization
NPI issued: 2 Aug 2024
Record last updated: 2 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.