Healthcare Provider Details

I. General information

NPI: 1679331912
Provider Name (Legal Business Name): INTERAMERICAN HEALTH SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10305 NW 41ST ST STE 126
DORAL FL
33178-2982
US

IV. Provider business mailing address

10305 NW 41ST ST STE 126
DORAL FL
33178-2982
US

V. Phone/Fax

Practice location:
  • Phone: 786-634-1468
  • Fax: 786-530-4802
Mailing address:
  • Phone: 786-634-1468
  • Fax: 786-530-4802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHEL CASTILLO MADRIGAL
Title or Position: OWNER
Credential:
Phone: 786-394-0632