Organization
MIAMI COMMUNITY HEALTH CENTER, INC
Active
Other names
La Milagrosa Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA TORRES (VICE-PRESIDENT)
(305) 586-3417
Entity
Organization
Contact information
Practice address
891-893 EAST 10TH AVE, HIALEAH, FL 33010
(305) 381-5150
(305) 851-0335
Mailing address
891-893 EAST 10TH AVE, HIALEAH, FL 33010-6355
(786) 220-2029
(786) 220-2094
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC9412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC9412
AHCA HEALTH CARE CLINIC
FL
Enumeration date
04/20/2012
Last updated
04/26/2021
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