Healthcare Provider Details

I. General information

NPI: 1912520263
Provider Name (Legal Business Name): DHG MEDICAL SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2020
Last Update Date: 08/02/2021
Certification Date: 07/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3850 SW 87TH AVE STE 207
MIAMI FL
33165-5474
US

IV. Provider business mailing address

3850 SW 87TH AVE STE 207
MIAMI FL
33165-5474
US

V. Phone/Fax

Practice location:
  • Phone: 786-512-7964
  • Fax:
Mailing address:
  • Phone: 786-512-7964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ODERAYS D CALZADILLA TORRENS
Title or Position: PRESIDENT
Credential:
Phone: 786-512-7964