# MIAMI DADE COMMUNITY MEDICAL GROUP,CORP.

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

## Provider details

- **NPI number:** 1649629668
- **Authorized official:** DR. CELIA Z PADRON M.D (PRESIDENT)
- **Authorized official phone:** (856) 534-5819

## Contact information

- **Practice address:** 1901 SW 1ST ST, SUITE 208, MIAMI, FL 33135-1601
- **Practice address phone:** (305) 763-2384
- **Practice address fax:** (877) 889-1801
- **Mailing address:** 1901 SW 1ST ST, SUITE 208, MIAMI, FL 33135-1601
- **Mailing address phone:** (305) 763-2384
- **Mailing address fax:** (877) 889-1801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR1100X | Research Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/09/2016
- **Last updated:** 06/09/2016