# C & S MEDICAL CLINIC, CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215961537
- **Authorized official:** MR. HUGO R RIVAS (PRESIDENT)
- **Authorized official phone:** (305) 264-2977

## Contact information

- **Practice address:** 7171 CORAL WAY, SUITE 305, MIAMI, FL 33155-1449
- **Practice address phone:** (305) 264-2977
- **Practice address fax:** (305) 264-2979
- **Mailing address:** 7171 CORAL WAY, SUITE 305, MIAMI, FL 33155-1449
- **Mailing address phone:** (305) 264-2977
- **Mailing address fax:** (305) 264-2979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME37973 | FL | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 08/22/2020