| Little Havana Health & Rejuvenation Center, Inc | |
|
1756 Sw 8th St Ste 206 Miami FL 33135-3544 | |
| (305) 771-7545 | |
| (786) 577-0317 |
| Full Name | Little Havana Health & Rejuvenation Center, Inc |
|---|---|
| Speciality | General Practice |
| Location | 1756 Sw 8th St Ste 206, Miami, Florida |
| Authorized Official Name and Position | Aleida Hera Jimenez (OWNER) |
| Authorized Official Contact | 3057717545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Havana Health & Rejuvenation Center, Inc 1756 Sw 8th St Ste 206 Miami FL 33135-3544 Ph: (305) 771-7545 | Little Havana Health & Rejuvenation Center, Inc 1756 Sw 8th St Ste 206 Miami FL 33135-3544 Ph: (305) 771-7545 |
| NPI Number | 1083380356 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/18/2021 |
| Medicare PECOS PAC ID | 1355747767 |
|---|---|
| Medicare Enrollment ID | O20210910001076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083380356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Aleida Hera-jimenez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649421058 PECOS PAC ID: 7113058504 Enrollment ID: I20100629000387 |
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