Provider Demographics
NPI:1952284994
Name:HERMES CLINICAL CENTER LLC
Entity type:Organization
Organization Name:HERMES CLINICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE MGR
Authorized Official - Prefix:
Authorized Official - First Name:YOVANY
Authorized Official - Middle Name:
Authorized Official - Last Name:GONGORA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-660-1844
Mailing Address - Street 1:330 SW 27TH AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2957
Mailing Address - Country:US
Mailing Address - Phone:786-660-1844
Mailing Address - Fax:
Practice Address - Street 1:330 SW 27TH AVE STE 305
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2957
Practice Address - Country:US
Practice Address - Phone:786-660-1844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center