BERAJA HEALTHCARE LLC NPI 1386654630

NPI Information

NPI: 1386654630
Provider Name: BERAJA HEALTHCARE LLC

Former Legal Business Name: BERAJA HEALTHCARE CORPORATION

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2550 S DOUGLAS RD STE 100
CORAL GABLES, FL
ZIP 33134
Phone: (239) 985-7171
Get Directions

BERAJA HEALTHCARE LLC is an ambulatory surgical clinic center in Coral Gables, FL. BERAJA HEALTHCARE LLC NPI is 1386654630. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Beraja Healthcare Corporation.

The provider's business location address is:

2550 S DOUGLAS RD STE 100
CORAL GABLES, FL
ZIP 33134-182
Phone: (239) 985-7171
Fax: (392) 985-7118

The provider's authorized official is Thomas Quigley .
The authorized official title is Authorized Official and has the following contact phone number (239) 985-7171.

The CLIA number assigned to this NPI record is 10D0922751 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 4/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical		FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F1253	OTHER	FLORIDA	PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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