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DIVINE MEDICAL CENTER P C
NPI 1215284583
General Practice in Detroit, MI

Active since August 06, 2012
901 W GRAND BLVD, DETROIT, MI 48208(313) 393-3141(313) 393-3144 Get Directions Write a Review

NPPES record last updated: August 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Divine Medical Center P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE MEDICAL CENTER P C (NPI 1215284583) is a healthcare organization registered as a general practice in Detroit, Michigan and active in the NPI registry since August 2012. The organization lists Cermen Cardona, President, as its authorized official.

NPPES Registry Identity

NPI1215284583
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDIVINE MEDICAL CENTER P C
Location Address901 W GRAND BLVDDetroit, MI 48208-2353
Mailing AddressPo Box 806464Saint Clair Shores, MI 48080-6464 · (313) 393-3141 · Fax (313) 393-3144
Phone(313) 393-3141
Fax(313) 393-3144
Organization SubpartNo
Authorized OfficialCermen CardonaPresident · (313) 393-3141
Enumeration DateAugust 6, 2012
✔ NPI 1215284583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
901 W GRAND BLVD, Detroit, MI 48208
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCE PROFESSIONAL PATIENT CARE PLLC
Clinic/Center (Primary Care)
901 W GRAND BLVD, STE 101
DETROIT, MI 48208
Wayne County (313) 894-1500
ADVANCE CARE REHAB SERVICES
Clinic/Center (Physical Therapy)
901 W GRAND BLVD, SUIT 105
DETROIT, MI 48208
Wayne County (313) 554-3600
METRO COMMUNITY RESOURCES CENTER OF MI
Public Health or Welfare
901 W GRAND BLVD, SUITE 103
DETROIT, MI 48208
Wayne County (313) 457-7870
NIRALIBEN PATEL PHYSICAL THERAPIST
Physical Therapist
901 W GRAND BLVD, SUITE 105
DETROIT, MI 48208
Wayne County (313) 554-3600
PROFESSIONAL PATIENT CARE PC
General Practice
901 W GRAND BLVD, SUITE 101
DETROIT, MI 48208
Wayne County (313) 894-1500
CAREPLUS HOMECARE INC
Home Health
901 W GRAND BLVD, SUITE 102
DETROIT, MI 48208
Wayne County (313) 285-9285
UNIVERSAL REHAB & PAIN MANAGEMENT PLLC
Home Health
901 W GRAND BLVD, SUITE 105
DETROIT, MI 48208
Wayne County (313) 477-9545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Medical Center P C's NPI number?

The NPI number for Divine Medical Center P C is 1215284583. It was assigned to this organization in the NPPES registry on August 6, 2012.

Where is Divine Medical Center P C located?

Divine Medical Center P C is located at 901 W Grand Blvd, Detroit, MI 48208. The listed phone number is (313) 393-3141.

What is Divine Medical Center P C's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Divine Medical Center P C was last updated on August 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.