Healthcare Provider Details

I. General information

NPI: 1558348805
Provider Name (Legal Business Name): DC HEALTH MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 03/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 SW 8TH ST SUITE 101
CORAL GABLES FL
33134-3121
US

IV. Provider business mailing address

3737 SW 8TH ST SUITE 101
CORAL GABLES FL
33134-3121
US

V. Phone/Fax

Practice location:
  • Phone: 305-529-0225
  • Fax: 305-448-1193
Mailing address:
  • Phone: 305-529-0225
  • Fax: 305-448-1193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberHCC4719
License Number StateFL

VIII. Authorized Official

Name: DAMARIS E. CASANUEVA
Title or Position: PRESIDENT
Credential:
Phone: 305-773-3491