# SANTA ANA MEDICAL CARE CENTER INC

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

## Provider details

- **NPI number:** 1386314599
- **Authorized official:** DEYVIS S FERNANDEZ (PRESIDENT)
- **Authorized official phone:** (305) 200-5648

## Contact information

- **Practice address:** 3750 W 16TH AVE STE 104, HIALEAH, FL 33012-4645
- **Practice address phone:** (305) 200-5648
- **Practice address fax:** (305) 602-0646
- **Mailing address:** 3750 W 16TH AVE STE 104, HIALEAH, FL 33012-4645
- **Mailing address phone:** (305) 200-5648
- **Mailing address fax:** (305) 602-0646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2021
- **Last updated:** 03/02/2026