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MIRACLE MEDICAL CENTER
NPI 1700491552
General Practice in Miami, FL

Active since September 09, 2020CLIA 10D2231615 · Waiver
15660 SW 72ND ST, MIAMI, FL 33193(786) 697-1150 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2023, Nov 23, 2022, Sep 9, 2020 (3 updates tracked since 2020).

About Miracle Medical Center NPPES

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

MIRACLE MEDICAL CENTER (NPI 1700491552) is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through August 3, 2027, maintains a secondary practice location in Tampa, and lists Brisaida Duarte, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700491552
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMIRACLE COMMUNITY BEHAVIORAL CENTER CORP
Location Address15660 SW 72ND STMiami, FL 33193-1923
Mailing Address15660 Sw 72nd StMiami, FL 33193-1923 · (786) 697-1150
Phone(786) 697-1150
Organization SubpartNo
Authorized OfficialBrisaida DuarteCeo · (786) 697-1150
Enumeration DateSeptember 9, 2020
Last NPPES UpdateAugust 25, 20233 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1700491552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysical Therapy AssistantTaxonomy 225200000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
15660 SW 72ND ST, Miami, FL 33193
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Other Names 1

Doing Business AsMiracle Medical Center

Secondary Practice Location 1

Location 110549 N Florida Ave Ste FTampa, FL 33612-6707 · Phone (786) 697-1150 · Fax (786) 541-1526

Other Identifiers 3

Medicaid118354400FL
Other42711FL · Health Care Clinic Certificate (ahca)
Other15527884FL · Caqh

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Molina Healthcare, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2231615

Miracle Community Behavioral Center Corp · Miami, FL
Active · expires Aug 3, 2027
CLIA Number10D2231615
Laboratory TypeMedical Center
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorBrisaida Duarte
Laboratory Phone(786) 697-1150
Laboratory LocationMiracle Community Behavioral Center Corp15660 SW 72 St, Miami, FL 33193
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

THE GYMNASTICS ACADEMY, CO.
Early Intervention Provider Agency
15660 SW 72ND ST
MIAMI, FL 33193
Miami-Dade County (305) 386-8500
RAMON MARZO MATOS RN, RBT
Registered Nurse
15660 SW 72ND ST
MIAMI, FL 33193
Miami-Dade County (786) 697-1150
MANUEL DE LA PORTILLA MH6485
Counselor (Mental Health)
15660 SW 72ND ST
MIAMI, FL 33193
Miami-Dade County (786) 697-1150
YUNIERKYS ALFONSO MORENO
Counselor (Mental Health)
15660 SW 72ND ST
MIAMI, FL 33193
Miami-Dade County (786) 498-6502

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 Miracle Community Behavioral Center Corp's NPI number?

The NPI number for Miracle Community Behavioral Center Corp is 1700491552. It was assigned to this organization in the NPPES registry on September 9, 2020. The provider is doing business as Miracle Medical Center.

Where is Miracle Community Behavioral Center Corp located?

Miracle Community Behavioral Center Corp is located at 15660 SW 72nd St, Miami, FL 33193. The listed phone number is (786) 697-1150.

What is Miracle Community Behavioral Center Corp's specialty?

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

Does Miracle Community Behavioral Center Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2231615) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Miracle Community Behavioral Center Corp accept?

Health plans from AmeriHealth Caritas Next, Molina Healthcare and UnitedHealthcare list Miracle Community Behavioral Center Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miracle Community Behavioral Center Corp was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.