Provider Demographics
NPI:1538674395
Name:C'A MEDICAL CENTER INC
Entity Type:Organization
Organization Name:C'A MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:JESUS
Authorized Official - Last Name:MIR REMEDIOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-542-6933
Mailing Address - Street 1:9600 SW 8TH ST STE 25
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2968
Mailing Address - Country:US
Mailing Address - Phone:786-542-6933
Mailing Address - Fax:786-542-6926
Practice Address - Street 1:9600 SW 8TH ST STE 25
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2968
Practice Address - Country:US
Practice Address - Phone:786-542-6933
Practice Address - Fax:786-542-6926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-02
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X, 251B00000X, 251S00000X
FL13169261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty