Provider Demographics
NPI:1275934556
Name:MIAMI PAIN CENTER, INC
Entity Type:Organization
Organization Name:MIAMI PAIN CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALEGRET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-772-2255
Mailing Address - Street 1:PO BOX 441087
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-1087
Mailing Address - Country:US
Mailing Address - Phone:305-772-2255
Mailing Address - Fax:
Practice Address - Street 1:7171 SW 24TH ST
Practice Address - Street 2:SUITE 307
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1449
Practice Address - Country:US
Practice Address - Phone:305-221-0200
Practice Address - Fax:305-468-6468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-05
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME107803261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1336462423OtherNPI