Provider Profile

CENTRUM MEDICAL CENTER - WEST HIALEAH, LLC

Health Care Clinic

FACILITY PROFILE

Facility Closed image
Street Address
  • 900 W 49TH ST STE 206
    HIALEAH, FL 33012
    County: Miami-Dade
  • Phone: (305) 266-2929
Mailing Address
  • 9250 NW 36TH ST STE 420
    DORAL, FL 33178-2775
    County: Miami-Dade
  • Phone: (305) 266-2929
AHCA Reports
Inspection Reports
Inspection Details
Facility Information:
Facility/Provider Type:Health Care Clinic
Medical or Clinic Director:Not Available
Administrator:ALBERTO MARRERO-ARIAS
Owner/Licensee:CENTRUM MEDICAL CENTER - WEST HIALEAH, LLC
Owner/Licensee Since:5/20/2021

NamePositionOwnership
CENTRUM MEDICAL HOLDINGS, LLC100%
ALEXIS MANUEL AGREDABOARD MEMBER/OFFICER0%
AMMER CABRERABOARD MEMBER/OFFICER0%
AVIMAEL AREVALOBOARD MEMBER/OFFICER0%
GRACIELA VANESSA VICTOREROBOARD MEMBER/OFFICER0%
MERCEDES CABRERABOARD MEMBER/OFFICER0%
ODALYS C AREVALOBOARD MEMBER/OFFICER0%
RENE GONZALEZBOARD MEMBER/OFFICER0%
RODOLFO A RODRIGUEZ-DURETBOARD MEMBER/OFFICER0%
STEPHANIE VICTOREROBOARD MEMBER/OFFICER0%
Profit Status:For-Profit
Licensed Beds:Not Available
AHCA Number (File Number):13863
AHCA Field Office:11
License Number:13177
Current License Effective:4/10/2024
Current License Expires:12/1/2023
License Status:MOVED TO EXEMPT
Services/Characteristics
Type:Fixed Location

Important information and facility/provider definitions can be found in the Glossary.

Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.