Healthcare Provider Details

I. General information

NPI: 1568041713
Provider Name (Legal Business Name): CNFALCON, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15715 S DIXIE HWY STE 407
MIAMI FL
33157-1812
US

IV. Provider business mailing address

26602 SW 125TH CT
HOMESTEAD FL
33032-7927
US

V. Phone/Fax

Practice location:
  • Phone: 786-217-8510
  • Fax:
Mailing address:
  • Phone: 786-217-8510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CARLOS NUNEZ
Title or Position: PRESIDENT
Credential:
Phone: 786-217-8510