| Cristal Community Health Center Llc | |
|
931 Sw 122nd Ave Miami FL 33184-2477 | |
| (786) 326-6308 | |
| Not Available |
| Full Name | Cristal Community Health Center Llc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 931 Sw 122nd Ave, Miami, Florida |
| Authorized Official Name and Position | Maria Patricia Gomez (OWNER) |
| Authorized Official Contact | 7863266308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cristal Community Health Center Llc 931 Sw 122nd Ave Miami FL 33184-2477 Ph: (786) 326-6308 | Cristal Community Health Center Llc 931 Sw 122nd Ave Miami FL 33184-2477 Ph: (786) 326-6308 |
| NPI Number | 1194378901 |
|---|---|
| Provider Enumeration Date | 07/20/2019 |
| Last Update Date | 01/28/2022 |
| Certification Date | 01/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194378901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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