C & V Gables Medical Center Inc
Organization Active NPI Internal Medicine Physician · Coral Gables, FL
NPI 1679002109 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1679002109
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME104666 (FL)
- Legal business name
- C & V GABLES MEDICAL CENTER INC
- Practice address
- 470 Biltmore Way Ste 200B
Coral Gables, FL 33134-5788 - Phone
- (305) 445-5515
- Fax
- (305) 445-5518
- NPI assigned
- Jun 8, 2017
- Organization subpart
- No
Authorized official
- Name
- Carlos Canova Diaz, MD
- Title
- Owner
- Phone
- (305) 445-5515
Practitioners 1
-
Carlos Canova-Diaz, M.D
National Provider Directory
Locations
470 Biltmore Way
Ste 200B
Coral Gables, FL 33134
Phone (305) 445-5515
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | ME104666 | FL | Yes |
Addresses
Primary practice location
470 Biltmore Way Ste 200B
Coral Gables, FL 33134-5788
Mailing address
470 Biltmore Way Ste 200B
Coral Gables, FL 33134-5788
Phone (305) 445-5515
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021250000 | Medicaid | FL |
Other names
- C & V GABLES MEDICAL CENTER INC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.