Healthcare Provider Details

I. General information

NPI: 1194421081
Provider Name (Legal Business Name): UNIVERSAL CLINICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2023
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9010 SW 137TH AVE STE 116
MIAMI FL
33186-1437
US

IV. Provider business mailing address

9010 SW 137TH AVE STE 116
MIAMI FL
33186-1437
US

V. Phone/Fax

Practice location:
  • Phone: 786-454-0485
  • Fax:
Mailing address:
  • Phone: 305-639-8685
  • Fax: 305-468-3936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ABDEL ABREU
Title or Position: CEO
Credential:
Phone: 305-639-8685