Healthcare Provider Details

I. General information

NPI: 1811913262
Provider Name (Legal Business Name): SELEM MEDICAL CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 W FLAGLER ST STE 6
CORAL GABLES FL
33134-1446
US

IV. Provider business mailing address

4800 W FLAGLER ST STE 6
CORAL GABLES FL
33134-1446
US

V. Phone/Fax

Practice location:
  • Phone: 305-448-7848
  • Fax: 305-446-9661
Mailing address:
  • Phone: 305-448-7848
  • Fax: 305-446-9661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. XIOMARA SUAREZ
Title or Position: PRESIDENT
Credential:
Phone: 305-448-7848