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NPI Code Detail

MEDICARE: MIL SONRISAS MEDICAL CENTER INC

MEDICARE: MIL SONRISAS MEDICAL CENTER 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
1251B00000XCase Management Agency
2251S00000XCommunity/Behavioral Health Agency
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1578302105
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIL SONRISAS MEDICAL CENTER INC
Provider Business Mailing Address
First Line : 849 SW 1ST ST
Second Line :
City : MIAMI
State : FL
Zip : 33130-1207
Country : US
Telephone Number : 786-953-5721
Fax Number : 305-810-4991
Provider Business Practice Location Address
First Line : 849 SW 1ST ST
Second Line :
City : MIAMI
State : FL
Zip : 33130-1207
Country : US
Telephone Number : 786-953-5721
Fax Number : 305-810-4991
Authorized Official
Title or Position : PRESIDENT
Name : DIANELYS FUENTES GALIANO
Credential :
Telephone Number : 786-312-0513
Provider Enumeration Date : 05/22/2024
Last Update Date : 01/10/2026

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