MEDICARE: LA SAGRADA FAMILIA MEDICAL CENTER

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1730805086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LA SAGRADA FAMILIA MEDICAL CENTER

Provider Business Mailing Address
First Line	:	7270 NW 12TH ST STE 430
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-1941
Country	:	US
Telephone Number	:	786-615-2843
Fax Number	:	786-980-1607

Provider Business Practice Location Address
First Line	:	7270 NW 12TH ST STE 430
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-1941
Country	:	US
Telephone Number	:	786-615-2843
Fax Number	:	786-980-1607

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AILEN CRUZ BERGON
Credential	:
Telephone Number	:	786-615-2843

Provider Enumeration Date	:	10/18/2022
Last Update Date	:	10/18/2022

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1497613913 — SANTANA MEDICAL CENTER INC
Practice Location Address:

7270 NW 12TH ST STE 420
MIAMI, FL
33126-1941

Practice Phone: 305-723-9391
Practice Fax: 786-478-3427

1508468869 — LA SAGRADA FAMILIA MEDICAL CENTER INC
Practice Location Address:

7270 NW 12TH ST STE 430
MIAMI, FL
33126-1941

Practice Phone: 786-615-2843
Practice Fax: 786-980-1607

1689265753 — M&D MENTAL HEALTH INC
Practice Location Address:

7270 NW 12TH ST STE 420
MIAMI, FL
33126-1941

Practice Phone: 786-359-4706
Practice Fax: 786-359-4761

1033795125 — HEAL PHYSICAL THERAPY, INC
Practice Location Address:

7270 NW 12TH ST STE 440
MIAMI, FL
33126-1941

Practice Phone: 305-778-9592
Practice Fax:

1356929087 — EMDA MENTAL HEALTH CENTER, LLC
Practice Location Address:

7270 NW 12TH ST STE 400
MIAMI, FL
33126-1941

Practice Phone: 786-343-4822
Practice Fax:

Directions to “LA SAGRADA FAMILIA MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.