Provider Demographics
NPI:1568871184
Name:CITIZENS HEALTH PRACTIONER SOLUTIONS INC
Entity Type:Organization
Organization Name:CITIZENS HEALTH PRACTIONER SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANADOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-794-8813
Mailing Address - Street 1:6355 SW 8TH ST
Mailing Address - Street 2:300E
Mailing Address - City:WEST MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4858
Mailing Address - Country:US
Mailing Address - Phone:305-794-8813
Mailing Address - Fax:786-542-9775
Practice Address - Street 1:6355 SW 8TH ST
Practice Address - Street 2:300E
Practice Address - City:WEST MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4858
Practice Address - Country:US
Practice Address - Phone:305-794-8813
Practice Address - Fax:786-542-9775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67716261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME67716OtherMEDICAL DOCTOR