Healthcare Provider Details

I. General information

NPI: 1023986643
Provider Name (Legal Business Name): AMONIA HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 10/27/2025
Certification Date: 10/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 E 9TH CT
HIALEAH FL
33010-5132
US

IV. Provider business mailing address

85 E 9TH CT
HIALEAH FL
33010-5132
US

V. Phone/Fax

Practice location:
  • Phone: 786-593-5681
  • Fax:
Mailing address:
  • Phone: 786-593-5681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: AIDA ROJAS
Title or Position: APRN
Credential:
Phone: 786-593-5681