MIRACLE COMMUNITY BEHAVIORAL CENTER CORP NPI 1700491552

NPI Information

NPI: 1700491552
Provider Name: MIRACLE COMMUNITY BEHAVIORAL CENTER CORP
Classification: General Practice - 208D00000X
Entity Type: Organization
Doing Business As: MIRACLE MEDICAL CENTER
CLIA Number: 10D2231615
Address: 15660 SW 72ND ST
MIAMI, FL
ZIP 33193
Phone: (786) 697-1150

Map and Directions

Get Directions

NPI Details

MIRACLE COMMUNITY BEHAVIORAL CENTER CORP is a general practice in Miami, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MIRACLE COMMUNITY BEHAVIORAL CENTER CORP NPI is 1700491552. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Miracle Medical Center.

The provider's business location address is:

15660 SW 72ND ST
MIAMI, FL
ZIP 33193-923
Phone: (786) 697-1150

The provider's authorized official is Brisaida Duarte .
The authorized official title is Ceo and has the following contact phone number (786) 697-1150.

The CLIA number assigned to this NPI record is 10D2231615 - other - medical center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/9/2020 and was last updated on 8/25/2023.

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	Primary
1	225100000X	Physical Therapist	No
2	225200000X	Physical Therapy Assistant	No
3	251S00000X	Community/Behavioral Health	No
4	208D00000X	General Practice	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	118354400	MEDICAID	FLORIDA
2	42711	OTHER	FLORIDA	HEALTH CARE CLINIC CERTIFICATE (AHCA)
3	15527884	OTHER	FLORIDA	CAQH

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI