Provider Demographics
NPI:1013885128
Name:NEW WORLD HEALTHCARE CENTER LLC
Entity type:Organization
Organization Name:NEW WORLD HEALTHCARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ CANIZARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-355-9063
Mailing Address - Street 1:5803 NW 151ST ST STE 107
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2473
Mailing Address - Country:US
Mailing Address - Phone:786-355-9063
Mailing Address - Fax:786-444-9563
Practice Address - Street 1:5803 NW 151ST ST STE 107
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2473
Practice Address - Country:US
Practice Address - Phone:786-355-9063
Practice Address - Fax:786-444-9563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care