Provider Demographics
| NPI: | 1376381962 |
|---|---|
| Name: | ROSITA COMMUNITY MEDICAL CENTER INC |
| Entity type: | Organization |
| Organization Name: | ROSITA COMMUNITY MEDICAL CENTER INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | CINDY |
| Authorized Official - Middle Name: | M |
| Authorized Official - Last Name: | TIRADO MAYTA |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 305-307-4685 |
| Mailing Address - Street 1: | 4530 NW 7TH ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MIAMI |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33126-2307 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 305-307-4685 |
| Mailing Address - Fax: | 305-648-0361 |
| Practice Address - Street 1: | 4530 NW 7TH ST |
| Practice Address - Street 2: | |
| Practice Address - City: | MIAMI |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33126-2307 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 305-307-4685 |
| Practice Address - Fax: | 305-648-0361 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-07-17 |
| Last Update Date: | 2024-07-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | |
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
| No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | Group - Multi-Specialty |
| No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
| No | 146D00000X | Emergency Medical Service Providers | Personal Emergency Response Attendant | Group - Multi-Specialty | |
| No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
| No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
| No | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | Group - Multi-Specialty |
| No | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
| No | 2081P2900X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pain Medicine | Group - Multi-Specialty |
| No | 251E00000X | Agencies | Home Health | ||
| No | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
