Organization
CENTRUM MEDICAL CENTERS OF EL PORTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS AGREDA (CFO)
(305) 266-2929
Entity
Organization
Contact information
Practice address
1190 NW 95TH ST STE 105, MIAMI, FL 33150-2064
(305) 266-2929
(305) 225-6633
Mailing address
9250 NW 36TH ST STE 420, DORAL, FL 33178-2775
(305) 266-2929
(305) 225-6633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
02/27/2024
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