Healthcare Provider Details

I. General information

NPI: 1386243822
Provider Name (Legal Business Name): MULTI HEALTH COMMUNITY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2020
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3898 W FLAGLER ST
CORAL GABLES FL
33134-1614
US

IV. Provider business mailing address

3898 W FLAGLER ST
CORAL GABLES FL
33134-1614
US

V. Phone/Fax

Practice location:
  • Phone: 954-280-2056
  • Fax: 954-280-2043
Mailing address:
  • Phone: 954-280-2056
  • Fax: 954-280-2043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DENIA LAZO SANTALLA
Title or Position: PRESIDENT
Credential:
Phone: 954-280-2056