Provider Demographics
NPI:1447690011
Name:CLINICAL CORPORATION OF AMERICA
Entity type:Organization
Organization Name:CLINICAL CORPORATION OF AMERICA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO AND PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:PINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-447-3091
Mailing Address - Street 1:10845 NW 7TH ST
Mailing Address - Street 2:APT 22
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-3778
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10845 NW 7TH ST
Practice Address - Street 2:APT 22
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-3778
Practice Address - Country:US
Practice Address - Phone:786-447-3091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-27
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No282E00000XHospitalsLong Term Care Hospital
No283X00000XHospitalsRehabilitation Hospital
No291U00000XLaboratoriesClinical Medical Laboratory