Provider Demographics
NPI:1679398614
Name:DRS AIRALA LASER & CATARACT INSTITUTE PA
Entity type:Organization
Organization Name:DRS AIRALA LASER & CATARACT INSTITUTE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ILIANA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-546-4654
Mailing Address - Street 1:2441 SW 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3051
Mailing Address - Country:US
Mailing Address - Phone:786-546-4654
Mailing Address - Fax:
Practice Address - Street 1:2050 NE 163RD ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4902
Practice Address - Country:US
Practice Address - Phone:305-442-0066
Practice Address - Fax:305-445-6896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty