Provider Demographics
NPI:1538049358
Name:FIRST CHOICE CARE CENTER, CORP
Entity type:Organization
Organization Name:FIRST CHOICE CARE CENTER, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAZARO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFONSO HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-317-0097
Mailing Address - Street 1:5190 NW 167TH ST STE 309
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-6338
Mailing Address - Country:US
Mailing Address - Phone:305-317-0097
Mailing Address - Fax:305-317-0098
Practice Address - Street 1:5190 NW 167TH ST STE 309
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-6338
Practice Address - Country:US
Practice Address - Phone:305-317-0097
Practice Address - Fax:305-317-0098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation