DR. RAFAEL A. PENALVER CLINIC, INC


Address: 971 Nw 2nd Street, Miami, FL 33128-1205
Phone: 3055457737

DR. RAFAEL A. PENALVER CLINIC, INC (NPI# 1508095050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508095050
Entity Type Organization
Organization Name DR. RAFAEL A. PENALVER CLINIC, INC
Practice Address 971 Nw 2nd Street
Miami
FL 33128-1205
Mailing Address 971 Nw 2nd St
Miami
FL 33128-1205
Practice Telephone 3055457737
Practice Fax Number 3055455862
Mailing Telephone 3055457737
Mailing Fax Number 3055455862
Enumeration Date 2009-07-06
Last Update Date 2009-07-06
Authorized Official Name MR. BORIS ALVAREZ (EXECUTIVE DIRECTOR)
Authorized Official Telephone 3055457737
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities
Y 261QC1500X Clinic/Center
Specialization: Community Health
FL Ambulatory Health Care Facilities

Office Location

Street Address 971 NW 2ND STREET
City MIAMI
State FL
Zip Code 33128-1205

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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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Competitor

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City MIAMI
Zip Code 33128

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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