Healthcare Provider Details

I. General information

NPI: 1699608901
Provider Name (Legal Business Name): ALFA MEDICAL CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9245 SW 158TH LN STE 201
PALMETTO BAY FL
33157-1804
US

IV. Provider business mailing address

9245 SW 158TH LN STE 201
PALMETTO BAY FL
33157-1804
US

V. Phone/Fax

Practice location:
  • Phone: 305-564-8836
  • Fax: 305-564-8846
Mailing address:
  • Phone: 305-564-8836
  • Fax: 305-564-8846

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: DAYANA REVUELTA NAVARRO
Title or Position: OWNER
Credential:
Phone: 305-564-8836