Provider Demographics
NPI:1770949299
Name:MEDICAL PROFESSIONAL CLINICAL RESEARCH CENTER, INC
Entity type:Organization
Organization Name:MEDICAL PROFESSIONAL CLINICAL RESEARCH CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALMINAQUE
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:786-801-1394
Mailing Address - Street 1:3850 SW 87TH AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-5400
Mailing Address - Country:US
Mailing Address - Phone:786-801-1394
Mailing Address - Fax:
Practice Address - Street 1:3850 SW 87TH AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-5400
Practice Address - Country:US
Practice Address - Phone:786-801-1394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-13
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9100767261QR1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch