Healthcare Provider Details

I. General information

NPI: 1578146668
Provider Name (Legal Business Name): CIFRAT MEDICAL CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2021
Last Update Date: 05/05/2021
Certification Date: 05/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13499 BISCAYNE BLVD STE 105
NORTH MIAMI FL
33181-2035
US

IV. Provider business mailing address

345 W 62ND ST
HIALEAH FL
33012-2647
US

V. Phone/Fax

Practice location:
  • Phone: 786-357-2703
  • Fax:
Mailing address:
  • Phone: 786-357-2703
  • 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: GEOSVANIS CIFRAT ALONSO
Title or Position: PRESIDENT
Credential:
Phone: 786-357-2703