Healthcare Provider Details

I. General information

NPI: 1134916877
Provider Name (Legal Business Name): US MEDICAL CENTER GROUP CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 NW 72ND AVE STE 3134
MIAMI FL
33126-3096
US

IV. Provider business mailing address

777 NW 72ND AVE STE 3134
MIAMI FL
33126-3096
US

V. Phone/Fax

Practice location:
  • Phone: 305-707-0027
  • Fax: 786-627-0027
Mailing address:
  • Phone: 305-707-0027
  • Fax: 786-627-0027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. OSCAR CASTELLANOS CASTELLANOS
Title or Position: PRESIDENT
Credential:
Phone: 305-707-0027