Healthcare Provider Details
I. General information
NPI: 1063347797
Provider Name (Legal Business Name): OMEGA MEDICAL CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/15/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13055 SW 42ND ST STE 204
MIAMI FL
33175-3410
US
IV. Provider business mailing address
13055 SW 42ND ST STE 204
MIAMI FL
33175-3410
US
V. Phone/Fax
- Phone: 786-322-9418
- Fax:
- Phone: 786-322-9418
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANLER
CABRERA
Title or Position: PRESIDENT
Credential:
Phone: 786-322-9418