Healthcare Provider Details
I. General information
NPI: 1356769343
Provider Name (Legal Business Name): AMERICAN HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/07/2014
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
777 E 25TH ST STE 508
HIALEAH FL
33013-3834
US
IV. Provider business mailing address
777 E 25TH ST STE 508
HIALEAH FL
33013-3834
US
V. Phone/Fax
- Phone: 305-696-7772
- Fax:
- Phone: 305-696-7772
- Fax: 305-696-8556
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WX0800X |
| Taxonomy | Orthopedic Registered Nurse |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RS0010X |
| Taxonomy | Sports Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JUAN
Y
HERRERA
Title or Position: OWNER / APRN
Credential: APRN
Phone: 305-696-7772