Healthcare Provider Details

I. General information

NPI: 1477501443
Provider Name (Legal Business Name): CAS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9065 SW 87TH AVE SUITE101
MIAMI FL
33176-2307
US

IV. Provider business mailing address

9065 SW 87TH AVE SUITE101
MIAMI FL
33176-2307
US

V. Phone/Fax

Practice location:
  • Phone: 305-595-8557
  • Fax: 305-595-8559
Mailing address:
  • Phone: 305-595-8557
  • Fax: 305-595-8559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License NumberME90913
License Number StateFL

VIII. Authorized Official

Name: MR. CARLOS ALBERTO SANCHEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-595-8557