OrganizationNostrum Medical Center West Dade LlcGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address4155 SW 130th Ave Ste 102, Miami, FL 33175-3414(305) 223-3580PECOS EnrollmentBased on the most recent information from CMS, provider Nostrum Medical Center West Dade Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1285901926Provider TypeOrganizationFull NameNostrum Medical Center West Dade LlcSubpartNoEnumeration Date11/23/2011Last Updated11/23/2011Contact InformationPractice LocationPractice Address4155 SW 130th Ave Ste 102, Miami, FL 33175-3414Phone(305) 223-3580Fax(305) 223-3582Mailing LocationMailing Address4155 SW 130th Ave Ste 102, Miami, FL 33175-3414Phone(305) 223-3580Fax(305) 223-3582Authorized OfficialNameEsnard, Jose A (President)Phone(305) 223-3580Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer