Rodriguez Community Center Corp | |
1301 Palm Ave Unit 102 Hialeah FL 33010-3461 | |
(786) 391-1206 | |
Not Available |
Full Name | Rodriguez Community Center Corp |
---|---|
Speciality | Community/Behavioral Health |
Location | 1301 Palm Ave Unit 102, Hialeah, Florida |
Authorized Official Name and Position | Carlos L Rodriguez (OWNER) |
Authorized Official Contact | 7863911206 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rodriguez Community Center Corp 1301 Palm Ave Unit 102 Hialeah FL 33010-3461 Ph: (786) 391-1206 | Rodriguez Community Center Corp 1301 Palm Ave Unit 102 Hialeah FL 33010-3461 Ph: (786) 391-1206 |
NPI Number | 1295311728 |
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Provider Enumeration Date | 03/23/2021 |
Last Update Date | 04/15/2024 |
Certification Date | 04/15/2024 |
Medicare PECOS PAC ID | 7315395803 |
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Medicare Enrollment ID | O20231121003659 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295311728 | NPI | - | NPPES |
109975600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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