Healthcare Provider Details

I. General information

NPI: 1275934556
Provider Name (Legal Business Name): MIAMI PAIN CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2014
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7171 SW 24TH ST SUITE 307
MIAMI FL
33155-1449
US

IV. Provider business mailing address

PO BOX 441087
MIAMI FL
33144-1087
US

V. Phone/Fax

Practice location:
  • Phone: 305-221-0200
  • Fax: 305-468-6468
Mailing address:
  • Phone: 305-772-2255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License NumberME107803
License Number StateFL

VIII. Authorized Official

Name: DR. RAMON E ALEGRET
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-772-2255