Healthcare Provider Details

I. General information

NPI: 1740230861
Provider Name (Legal Business Name): 3 C'S DIMENSION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1281 NW 6TH ST
MIAMI FL
33125-4719
US

IV. Provider business mailing address

1281 NW 6TH ST
MIAMI FL
33125-4719
US

V. Phone/Fax

Practice location:
  • Phone: 305-325-0840
  • Fax: 305-325-0826
Mailing address:
  • Phone: 305-325-0840
  • Fax: 305-325-0826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OTONIEL GONZALEZ
Title or Position: OWNER
Credential:
Phone: 305-325-0840