MEDICARE: NELJADJOY HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1902746514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NELJADJOY HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	15901 SW 64TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-3677
Country	:	US
Telephone Number	:	305-842-8145
Fax Number	:

Provider Business Practice Location Address
First Line	:	15901 SW 64TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-3677
Country	:	US
Telephone Number	:	305-842-8145
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	NELSY ALINA LOBAINA
Credential	:	APRN
Telephone Number	:	305-842-8145

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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