Organization
MIRACLES OF THE HEART INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRISAIDA DUARTE PRESIDENT (ADMINISTRATOR)
(786) 315-6818
Entity
Organization
Contact information
Practice address
7815 CORAL WAY STE 106-108, MIAMI, FL 33155-6541
(786) 556-1397
Mailing address
15668 SW 72ND ST, MIAMI, FL 33193-1923
(786) 315-6818
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D630060839451
FDL
FL
Enumeration date
02/08/2022
Last updated
02/08/2022
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