Healthcare Provider Details

I. General information

NPI: 1275444200
Provider Name (Legal Business Name): SERENITY HEALTH MEDICAL CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 W 49TH ST STE 236
HIALEAH FL
33012-3443
US

IV. Provider business mailing address

900 W 49TH ST STE 236
HIALEAH FL
33012-3443
US

V. Phone/Fax

Practice location:
  • Phone: 786-214-6896
  • Fax:
Mailing address:
  • Phone: 786-214-6896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: YEINS GONZALEZ
Title or Position: PRESIDENT
Credential:
Phone: 786-514-9471