Healthcare Provider Details

I. General information

NPI: 1609409192
Provider Name (Legal Business Name): YIMIS COMMUNITY CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2020
Last Update Date: 02/13/2020
Certification Date: 02/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 SW 57TH AVE STE 101
MIAMI FL
33155-2164
US

IV. Provider business mailing address

1890 SW 57TH AVE STE 101
MIAMI FL
33155-2164
US

V. Phone/Fax

Practice location:
  • Phone: 305-748-8752
  • Fax:
Mailing address:
  • Phone: 305-748-8752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: YIMI TORRES
Title or Position: PRESIDENT
Credential:
Phone: 305-748-8752