Healthcare Provider Details

I. General information

NPI: 1386654630
Provider Name (Legal Business Name): BERAJA HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 08/06/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 S DOUGLAS RD STE 100
CORAL GABLES FL
33134-6182
US

IV. Provider business mailing address

2550 S. DOUGLAS ROAD SUITE 100
CORAL GABLES FL
33134-6182
US

V. Phone/Fax

Practice location:
  • Phone: 239-985-7171
  • Fax: 392-985-7118
Mailing address:
  • Phone: 305-443-7070
  • Fax: 305-770-6079

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateFL

VIII. Authorized Official

Name: ALBERTO J ARAN
Title or Position: MEDICAL DIRECTOR AND DIRECTOR
Credential: M.D.
Phone: 305-205-2325