Organization
CENTURY MEDICAL CENTER OF SOUTH DADE ,L.L.C
Active
Other names
Little Havana Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CARIDAD MIREYA GALLARDO PIMENTEL APRN (PRESIDENT)
(786) 461-1020
Entity
Organization
Contact information
Practice address
1119 SW 1ST STREET, MIAMI, FL 33130
(305) 642-1042
Mailing address
1645 SW 107TH AVE, MIAMI, FL 33165-7344
(305) 642-1042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
05/05/2021
Last updated
08/08/2022
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