OrganizationLa Colonia Medical Center IncClinic/CenterAmbulatory Health Care FacilitiesPractice Address383 W 34th St, Hialeah, FL 33012-4309(305) 823-3312PECOS EnrollmentBased on the most recent information from CMS, provider La Colonia Medical Center Inc 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 ID1821123639Provider TypeOrganizationFull NameLa Colonia Medical Center IncSubpartNoEnumeration Date2/22/2007Last Updated6/29/2021Contact InformationPractice LocationPractice Address383 W 34th St, Hialeah, FL 33012-4309Phone(305) 823-3312Fax(786) 360-2327Mailing LocationMailing Address167 W 23rd St, Hialeah, FL 33010-2211Phone(305) 823-3312Fax(786) 360-2327Authorized OfficialNameAcevedo, Yenin (President)Phone(305) 608-1082Provider TaxonomiesCodeDescriptionLicenseCode261QH0100XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted IssuerFlorida