CELEN MEDICAL GROUP CORP NPI 1558803056

NPI Information

NPI: 1558803056
Provider Name: CELEN MEDICAL GROUP, CORP
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
7930 NW 36TH ST STE 215
DORAL, FL
ZIP 33166
Phone: (305) 677-9110
Get Directions

CELEN MEDICAL GROUP, CORP is a multi-specialty clinic center in Doral, FL. CELEN MEDICAL GROUP, CORP NPI is 1558803056. The provider is registered as an organization entity type.

The provider's business location address is:

7930 NW 36TH ST STE 215
DORAL, FL
ZIP 33166-677
Phone: (305) 677-9110
Fax: (305) 677-9111

The provider's authorized official is Noslen Sanchez Mesa .
The authorized official title is President/ceo and has the following contact phone number (305) 587-2418.

The enumeration date for this NPI number is 11/15/2016 and was last updated on 6/26/2022.

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	Primary
1	251S00000X	Community/Behavioral Health		No
2	261QR1100X	Clinic/Center	Research	No
3	207Q00000X	Family Medicine		No
4	207QA0505X	Family Medicine	Adult Medicine	No
5	261QM1300X	Clinic/Center	Multi-Specialty	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	104412200	MEDICAID	FLORIDA
2	020648800	MEDICAID	FLORIDA
3	HCC12379	OTHER	FLORIDA	AHCA

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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