Organization
ETERNITY COMMUNITY MENTAL HEALTH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RIGOBERTO CORDERO (OWNER)
(786) 970-9843
Entity
Organization
Contact information
Practice address
7570 NW 14TH ST STE 101, MIAMI, FL 33126-1701
(305) 477-6750
Mailing address
7570 NW 14TH ST STE 101, MIAMI, FL 33126-1701
(305) 477-6750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
06/08/2021
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