# PREVENTIVE AND PRIMARY CARE MEDICAL CENTER INC

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

## Provider details

- **NPI number:** 1669742003
- **Authorized official:** MRS. MAGALIS VILLALBA (CO-OWNER)
- **Authorized official phone:** (786) 558-8901

## Contact information

- **Practice address:** 10250 SW 56TH ST, SUITE C101, MIAMI, FL 33165-7069
- **Practice address phone:** (786) 558-8901
- **Practice address fax:** (786) 558-8917
- **Mailing address:** 10250 SW 56TH ST, SUITE C101, MIAMI, FL 33165-7069
- **Mailing address phone:** (786) 558-8901
- **Mailing address fax:** (786) 558-8917

## Taxonomy

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

## Other

- **Enumeration date:** 01/02/2012
- **Last updated:** 10/06/2022
