Organization
TESALIA COMMUNITY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORAIMIS RODRIGUEZ (OWNER)
(786) 310-7678
Entity
Organization
Contact information
Practice address
2141 SW 1ST ST STE 201, MIAMI, FL 33135-5602
(786) 973-0957
Mailing address
2141 SW 1ST ST STE 201, MIAMI, FL 33135-5602
(786) 973-0957
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116218900
—
FL
Enumeration date
12/29/2020
Last updated
08/05/2025
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