# HOMESTEAD MEDICAL CENTER CORP

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

## Provider details

- **NPI number:** 1770626723
- **Authorized official:** YOISET CARRAZANA (PRESIDENT)
- **Authorized official phone:** (305) 644-1301

## Contact information

- **Practice address:** 1800 SW 1ST ST, SUITE 208, MIAMI, FL 33135-1960
- **Practice address phone:** (305) 644-1301
- **Practice address fax:** (305) 644-1323
- **Mailing address:** 1800 SW 1ST ST, SUITE 208, MIAMI, FL 33135-1960
- **Mailing address phone:** (305) 644-1301
- **Mailing address fax:** (305) 644-1323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | HCC7492 | FL | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 08/22/2020