Organization
MENTAL CARE MEDICAL CENTER INC
Active
Other names
Medical C are Center Group
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO A AMADOR RODRIGUEZ (OWNER/PRESIDENT)
(305) 788-6644
Entity
Organization
Contact information
Practice address
7925 NW 12TH ST STE 225, DORAL, FL 33126-1821
(305) 788-6644
Mailing address
7925 NW 12TH ST STE 225, DORAL, FL 33126-1821
(305) 788-6644
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107706300
—
FL
05
—
110034600
—
FL
05
—
117263400
—
FL
Enumeration date
08/11/2020
Last updated
06/26/2023
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