# EL RETIRO MEDICAL CENTER CORP

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

## Provider details

- **NPI number:** 1811569684
- **Authorized official:** DANIELA RUIZ ALVAREZ (PRESIDENT)
- **Authorized official phone:** (786) 755-2897

## Contact information

- **Practice address:** 1818 W FLAGLER ST, MIAMI, FL 33135-1915
- **Practice address phone:** (786) 755-2897
- **Practice address fax:** (305) 364-5767
- **Mailing address:** 1818 W FLAGLER ST, MIAMI, FL 33135-1915
- **Mailing address phone:** (786) 755-2897
- **Mailing address fax:** (305) 364-5767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician | — | NULL | — |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2021
- **Last updated:** 06/26/2023