Healthcare Provider Details

I. General information

NPI: 1306543194
Provider Name (Legal Business Name): DCHEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2023
Last Update Date: 08/03/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11440 N KENDALL DR STE 110
MIAMI FL
33176-1024
US

IV. Provider business mailing address

8650 NW 97TH AVE APT 102
DORAL FL
33178-2575
US

V. Phone/Fax

Practice location:
  • Phone: 786-699-1377
  • Fax: 786-699-1452
Mailing address:
  • Phone: 786-301-8948
  • Fax: 786-699-1452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIA CARMONA GONZALEZ
Title or Position: APRN
Credential: APRN
Phone: 786-301-8948