Provider Demographics
NPI:1750173894
Name:ALL LEVEL MEDICAL CENTER
Entity type:Organization
Organization Name:ALL LEVEL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISSETT
Authorized Official - Middle Name:M
Authorized Official - Last Name:RODRIGUEZ AGUILERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-542-5056
Mailing Address - Street 1:2100 W 76TH ST STE 408
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5504
Mailing Address - Country:US
Mailing Address - Phone:786-542-5056
Mailing Address - Fax:
Practice Address - Street 1:2100 W 76TH ST STE 408
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5504
Practice Address - Country:US
Practice Address - Phone:786-542-5056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty