Healthcare Provider Details

I. General information

NPI: 1538020342
Provider Name (Legal Business Name): DMR MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5872 W FLAGLER ST
MIAMI FL
33144-3363
US

IV. Provider business mailing address

5872 W FLAGLER ST
MIAMI FL
33144-3363
US

V. Phone/Fax

Practice location:
  • Phone: 888-367-2155
  • Fax: 888-317-1773
Mailing address:
  • Phone: 888-367-2155
  • Fax: 888-317-1773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: YANET CATA CRUZ
Title or Position: OWNER
Credential: APRN
Phone: 888-367-2155