# PANAMERICAN HEALTH CENTER INC

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

## Provider details

- **NPI number:** 1598923450
- **Authorized official:** MR. CARLOS A RIVERO MT (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (305) 567-0060

## Contact information

- **Practice address:** 4750 NW 7TH STREET, SUITE 13, MIAMI, FL 33126-2253
- **Practice address phone:** (305) 567-0060
- **Practice address fax:** (305) 567-0065
- **Mailing address:** 4750 NW 7TH STREET, SUITE 13, MIAMI, FL 33126-2253
- **Mailing address phone:** (305) 567-0060
- **Mailing address fax:** (305) 567-0065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH8930 | FL | — |
| 208D00000X | General Practice Physician | ACN 223 | FL | — |
| 208D00000X | General Practice Physician | ACN 316 | FL | — |
| 208D00000X | General Practice Physician | HCC6049 | FL | Yes |
| 2355S0801X | Speech-Language Assistant | SI 637 | FL | — |
| 363A00000X | Physician Assistant | CI 415 | FL | — |

## Other

- **Enumeration date:** 05/28/2008
- **Last updated:** 12/10/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | K8291A | — | FL |