Healthcare Provider Details

I. General information

NPI: 1942112131
Provider Name (Legal Business Name): ELEVATE HEALTH MEDICAL CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9010 SW 137TH AVE STE 201
MIAMI FL
33186-1438
US

IV. Provider business mailing address

9010 SW 137TH AVE STE 201
MIAMI FL
33186-1438
US

V. Phone/Fax

Practice location:
  • Phone: 786-939-0661
  • Fax:
Mailing address:
  • Phone: 786-939-0661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID VAZQUEZ ANDEREZ
Title or Position: OWNER
Credential:
Phone: 786-939-0661