Provider Demographics
NPI:1285283051
Name:XMC CORP
Entity type:Organization
Organization Name:XMC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:XENIA
Authorized Official - Middle Name:MERCEDES
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:786-229-9919
Mailing Address - Street 1:7225 S PRESTWICK PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-6521
Mailing Address - Country:US
Mailing Address - Phone:786-229-9919
Mailing Address - Fax:
Practice Address - Street 1:7225 S PRESTWICK PL
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-6521
Practice Address - Country:US
Practice Address - Phone:786-229-9919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty