COMPREHENSIVE COMMUNITY GUIDANCE CENTER INC NPI 1366460396

NPI Information

NPI: 1366460396
Provider Name: COMPREHENSIVE COMMUNITY GUIDANCE CENTER INC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 10D2026869

Address:
161 NW 29STREET
MIAMI, FL
ZIP 33127
Phone: (305) 576-0231
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COMPREHENSIVE COMMUNITY GUIDANCE CENTER INC is a health service clinic center in Miami, FL. COMPREHENSIVE COMMUNITY GUIDANCE CENTER INC NPI is 1366460396. The provider is registered as an organization entity type.

The provider's business location address is:

161 NW 29STREET
MIAMI, FL
ZIP 33127
Phone: (305) 576-0231
Fax: (305) 573-1458

The provider's authorized official is Reynaldo Cruz .
The authorized official title is Ceo and has the following contact phone number (305) 576-0231.

The CLIA number assigned to this NPI record is 10D2026869 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 7/31/2008.

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	261QH0100X	Clinic/Center	Health Service			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	72376	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	MEDICARE PROVIDER NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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