CRISTAL COMMUNITY HEALTH CENTER LLC NPI 1194378901

NPI Information

NPI: 1194378901
Provider Name: CRISTAL COMMUNITY HEALTH CENTER LLC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
931 SW 122ND AVE
MIAMI, FL
ZIP 33184
Phone: (786) 326-6308
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CRISTAL COMMUNITY HEALTH CENTER LLC is a community health clinic center in Miami, FL. CRISTAL COMMUNITY HEALTH CENTER LLC NPI is 1194378901. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

931 SW 122ND AVE
MIAMI, FL
ZIP 33184-477
Phone: (786) 326-6308

The provider's authorized official is Maria Patricia Gomez .
The authorized official title is Owner and has the following contact phone number (786) 326-6308.

The enumeration date for this NPI number is 7/20/2019 and was last updated on 1/28/2022.

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	2084P0800X	Psychiatry & Neurology	Psychiatry			No
2	261QC1500X	Clinic/Center	Community Health			Yes

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: 11/14/2023

NPI Synchronization or Removal

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