Healthcare Provider Details

I. General information

NPI: 1699366682
Provider Name (Legal Business Name): TU FAMILIA HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 W 19TH ST
HIALEAH FL
33010-2532
US

IV. Provider business mailing address

375 W 19TH ST
HIALEAH FL
33010-2532
US

V. Phone/Fax

Practice location:
  • Phone: 786-862-4351
  • Fax:
Mailing address:
  • Phone: 786-622-1866
  • Fax: 786-622-1867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DENISSE SALAS
Title or Position: PRESIDENT
Credential:
Phone: 786-622-1866