Healthcare Provider Details

I. General information

NPI: 1861607491
Provider Name (Legal Business Name): C&CMEDICAL&REHABSERVICESINC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3990 W FLAGLER ST 302
CORAL GABLES FL
33134-1644
US

IV. Provider business mailing address

3990 W FLAGLER ST 302
CORAL GABLES FL
33134-1644
US

V. Phone/Fax

Practice location:
  • Phone: 305-774-1500
  • Fax: 305-774-1400
Mailing address:
  • Phone: 305-774-1500
  • Fax: 305-774-1400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberCH3053
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number208
License Number StateID
# 3
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNAT1000762
License Number StateDC

VIII. Authorized Official

Name: DR. MIGUEL ANGEL LALAMA
Title or Position: PRESIDENT
Credential: MD NMD DC
Phone: 305-774-1500