Provider Demographics
NPI:1104204544
Name:C.M. COMMUNITY SERVICES, INC
Entity Type:Organization
Organization Name:C.M. COMMUNITY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:786-368-1112
Mailing Address - Street 1:1651 W 37TH ST STE 404
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4692
Mailing Address - Country:US
Mailing Address - Phone:305-960-7113
Mailing Address - Fax:305-960-7654
Practice Address - Street 1:1651 W 37TH ST STE 404
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4692
Practice Address - Country:US
Practice Address - Phone:954-626-0878
Practice Address - Fax:954-306-8524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015272600Medicaid