Healthcare Provider Details

I. General information

NPI: 1134883077
Provider Name (Legal Business Name): SAFE HAVEN MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2021
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6187 NW 167TH ST STE H25
MIAMI GARDENS FL
33015-4352
US

IV. Provider business mailing address

6187 NW 167TH ST STE H25
MIAMI GARDENS FL
33015-4352
US

V. Phone/Fax

Practice location:
  • Phone: 305-705-5655
  • Fax: 305-402-6101
Mailing address:
  • Phone: 305-705-5666
  • Fax: 305-402-6101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: IOSIF BONET SOLIS
Title or Position: OWNER / ADMIN
Credential: RN
Phone: 305-335-9627