Organization

Pride Group Center, Inc.

Clinic/Center in Hialeah, FL(View on Map)

Legal Business Name

Pride Group Center, Inc.

NPI Number

1003866609

NPI Type

Organization

Enumeration Date

05/12/2006

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

692 W 29TH ST
692 W 29TH ST

City

Hialeah
Hialeah

State

FL
FL

Postal Code

33012-5620
33012-5620

Country

US
US

Telephone Number

(786) 274-0386
(786) 274-0386

Authorized Official

Name

Mr. Felipe Cruz

Title or Position

PRESIDENT

Telephone Number

(786) 274-0386

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

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