Provider Demographics
| NPI: | 1093548729 |
|---|---|
| Name: | NEW HORIZON MEDICAL & DIAGNOSTIC CENTER CORP |
| Entity type: | Organization |
| Organization Name: | NEW HORIZON MEDICAL & DIAGNOSTIC CENTER CORP |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | NORMA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | CUTINO |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 305-456-9035 |
| Mailing Address - Street 1: | 8366 SW 8TH ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MIAMI |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33144-4180 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 305-456-9035 |
| Mailing Address - Fax: | 305-456-7729 |
| Practice Address - Street 1: | 8366 SW 8TH ST |
| Practice Address - Street 2: | |
| Practice Address - City: | MIAMI |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33144-4180 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 305-456-9035 |
| Practice Address - Fax: | 305-456-7729 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-08-20 |
| Last Update Date: | 2024-08-20 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | Group - Multi-Specialty | |
| No | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
| No | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine | Group - Multi-Specialty |
| No | 251B00000X | Agencies | Case Management | ||
| No | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care | |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | |
| No | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | |
| No | 261QR0401X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder | |
| No | 261QR1100X | Ambulatory Health Care Facilities | Clinic/Center | Research | |
| No | 332900000X | Suppliers | Non-Pharmacy Dispensing Site | ||
| No | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
