Healthcare Provider Details

I. General information

NPI: 1104592526
Provider Name (Legal Business Name): HEY CLINIC FOR HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2021
Last Update Date: 08/30/2021
Certification Date: 08/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5545 SW 8TH ST STE 102
CORAL GABLES FL
33134-2276
US

IV. Provider business mailing address

5545 SW 8TH ST STE 102
CORAL GABLES FL
33134-2276
US

V. Phone/Fax

Practice location:
  • Phone: 786-553-4995
  • Fax:
Mailing address:
  • Phone: 786-553-4995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIELA RODRIGUEZ VASALLO
Title or Position: PRESIDENT
Credential:
Phone: 786-553-4995