Healthcare Provider Details

I. General information

NPI: 1629789391
Provider Name (Legal Business Name): CANES MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2022
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10201 HAMMOCKS BLVD STE 148
MIAMI FL
33196-3785
US

IV. Provider business mailing address

10201 HAMMOCKS BLVD STE 148
MIAMI FL
33196-3785
US

V. Phone/Fax

Practice location:
  • Phone: 305-964-7394
  • Fax: 786-713-0126
Mailing address:
  • Phone: 305-964-7394
  • Fax: 786-713-0126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANNETTE PEREZ
Title or Position: OWNER
Credential:
Phone: 786-971-7920