Healthcare Provider Details

I. General information

NPI: 1407657190
Provider Name (Legal Business Name): BELEN HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5890 NW 173RD DR
HIALEAH FL
33015-5103
US

IV. Provider business mailing address

13117 NW 107TH AVE STE 1
HIALEAH GDNS FL
33018-1163
US

V. Phone/Fax

Practice location:
  • Phone: 305-796-3544
  • Fax: 786-652-1642
Mailing address:
  • Phone: 305-796-3544
  • Fax: 786-652-1642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ENRIQUE ZAMORA
Title or Position: CORP MGR
Credential:
Phone: 305-796-3544