Healthcare Provider Details

I. General information

NPI: 1255875324
Provider Name (Legal Business Name): TROPICAL CARE MEDICAL CENTER, CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2016
Last Update Date: 03/11/2021
Certification Date: 03/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3750 W 16TH AVE STE 140U138
HIALEAH FL
33012-4654
US

IV. Provider business mailing address

1651 W 37TH ST
HIALEAH FL
33012-4691
US

V. Phone/Fax

Practice location:
  • Phone: 786-615-6778
  • Fax:
Mailing address:
  • Phone: 786-370-1904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: IDIANA HERNANDEZ
Title or Position: CEO
Credential:
Phone: 786-370-1904