Provider Demographics
NPI:1649414467
Name:DORAL CARE CENTER, INC.
Entity Type:Organization
Organization Name:DORAL CARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GILBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:SECO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-591-1133
Mailing Address - Street 1:11767 S DIXIE HWY
Mailing Address - Street 2:SUITE 282
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-4438
Mailing Address - Country:US
Mailing Address - Phone:305-591-1133
Mailing Address - Fax:305-591-0018
Practice Address - Street 1:8900 CORAL WAY
Practice Address - Street 2:SUITE 103
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2075
Practice Address - Country:US
Practice Address - Phone:305-591-1133
Practice Address - Fax:305-591-0018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-23
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME62641261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center