Healthcare Provider Details

I. General information

NPI: 1306775887
Provider Name (Legal Business Name): CMVC CLINIC& LABS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11401 SW 40TH ST STE 110
MIAMI FL
33165-3338
US

IV. Provider business mailing address

11401 SW 40TH ST STE 110
MIAMI FL
33165-3338
US

V. Phone/Fax

Practice location:
  • Phone: 305-608-4492
  • Fax:
Mailing address:
  • Phone: 305-608-4492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YUNI GUILARTE
Title or Position: CLINICAL DIRECTOR
Credential:
Phone: 305-608-4492