Healthcare Provider Details
I. General information
NPI: 1720902679
Provider Name (Legal Business Name): XCEL MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
85 GRAND CANAL DR STE 306
MIAMI FL
33144-2569
US
IV. Provider business mailing address
85 GRAND CANAL DR STE 306
MIAMI FL
33144-2569
US
V. Phone/Fax
- Phone: 786-949-7288
- Fax: 786-949-7290
- Phone: 786-949-7288
- Fax: 786-949-7290
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAVIER
GONZALEZ PALACIOS
Title or Position: PRESIDENT
Credential:
Phone: 720-499-9020