Organization
BENEFICA HEALTH CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE LUIS GONZALEZ (PRESIDENT/OWNER)
(305) 642-8718
Entity
Organization
Contact information
Practice address
3923 NW 7TH ST, MIAMI, FL 33126-5504
(305) 642-8718
(305) 675-2668
Mailing address
3923 NW 7TH ST, MIAMI, FL 33126-5504
(305) 642-8718
(305) 675-2668
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7167
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC7167
AHCA LICENSE
FL
Enumeration date
08/21/2006
Last updated
08/22/2020
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