Organization
PRIME 1 MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE M CABRERA (OWNER/PRESIDENT)
(786) 352-2311
Entity
Organization
Contact information
Practice address
1405 SW 107TH AVE STE 301G&W, MIAMI, FL 33174-2533
(786) 352-2311
Mailing address
1405 SW 107TH AVE STE 301G&W, MIAMI, FL 33174-2533
(786) 352-2311
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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