Healthcare Provider Details

I. General information

NPI: 1326623729
Provider Name (Legal Business Name): BETTER MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2021
Last Update Date: 05/27/2021
Certification Date: 05/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13255 SW 137TH AVE STE 201
MIAMI FL
33186-5327
US

IV. Provider business mailing address

13255 SW 137TH AVE STE 201
MIAMI FL
33186-5327
US

V. Phone/Fax

Practice location:
  • Phone: 786-614-8771
  • Fax:
Mailing address:
  • Phone: 786-614-8771
  • Fax:

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 Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ROBERTO DIAZ
Title or Position: OWNER
Credential:
Phone: 786-614-8771