Healthcare Provider Details

I. General information

NPI: 1891551735
Provider Name (Legal Business Name): RESILIENCIA MEDICAL CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2024
Last Update Date: 03/16/2024
Certification Date: 03/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 SW 8TH ST STE 206
MIAMI FL
33135-2850
US

IV. Provider business mailing address

2901 SW 8TH ST STE 206
MIAMI FL
33135-2850
US

V. Phone/Fax

Practice location:
  • Phone: 786-371-3025
  • Fax:
Mailing address:
  • Phone: 786-371-3025
  • Fax:

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 State

VIII. Authorized Official

Name: MAIKEL TAMAYO
Title or Position: OWNER
Credential:
Phone: 786-371-3025