Organization
NORTH MEMORIAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIUVYS RODRIGUEZ PORRO (OWNER)
(305) 798-5329
Entity
Organization
Contact information
Practice address
2500 NW 79TH AVE STE 237, DORAL, FL 33122-1086
(786) 502-3187
(786) 360-3982
Mailing address
2500 NW 79TH AVE STE 237, DORAL, FL 33122-1086
(786) 502-3187
(786) 360-3982
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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