Provider Demographics
NPI:1356578199
Name:DORAL CENTER FOR NEUROPSYCH RESEARCH LLC
Entity type:Organization
Organization Name:DORAL CENTER FOR NEUROPSYCH RESEARCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EMELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:AROCHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-477-9363
Mailing Address - Street 1:10454 NW 31ST TER
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1200
Mailing Address - Country:US
Mailing Address - Phone:305-477-9363
Mailing Address - Fax:305-468-0325
Practice Address - Street 1:10454 NW 31ST TER
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1200
Practice Address - Country:US
Practice Address - Phone:305-477-9363
Practice Address - Fax:305-468-0325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-19
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME891182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherEIN