Organization
DR. RAFAEL A. PENALVER CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS ALVAREZ (EXECUTIVE DIRECTOR)
(305) 545-7737
Entity
Organization
Contact information
Practice address
971 NW 2ND STREET, MIAMI, FL 33128-1205
(305) 545-7737
(305) 545-5862
Mailing address
971 NW 2ND ST, MIAMI, FL 33128-1205
(305) 545-7737
(305) 545-5862
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
FL
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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