Mdo Health Service Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MDO HEALTH SERVICE CORPORATION

Practice address

360 W 49TH St Ste a
Hialeah, FL 33012-3764

Phone

(786) 868-3464

NPI assigned

Mar 6, 2021

Last updated

Mar 6, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mario C Suarez Guerra

Title

President

Phone

(786) 868-3464

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614988800000",
    "number": "1194310623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W 49TH ST STE A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123764",
            "telephone_number": "786-868-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W 49TH ST STE A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123764",
            "telephone_number": "786-868-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDO HEALTH SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-06",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A",
        "authorized_official_last_name": "SUAREZ GUERRA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-868-3464"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.