MEDICARE: NEW HEALTH COMMUNITY CENTERS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	ME53090	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386923050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HEALTH COMMUNITY CENTERS INC

Provider Business Mailing Address
First Line	:	6300 NE 2ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33138-6005
Country	:	US
Telephone Number	:	305-754-8966
Fax Number	:	305-754-4063

Provider Business Practice Location Address
First Line	:	6300 NE 2ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33138-6005
Country	:	US
Telephone Number	:	305-754-8966
Fax Number	:	305-754-4063

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	MR. RENAUD SAINT-VIL
Credential	:	MD
Telephone Number	:	305-754-8966

Provider Enumeration Date	:	08/11/2011
Last Update Date	:	01/14/2016

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