Healthcare Provider Details

I. General information

NPI: 1699603654
Provider Name (Legal Business Name): AMERICAN HEALTH ORTHOPEDIC CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
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

Practice location:
  • Phone: 305-696-7772
  • Fax: 305-696-8556
Mailing address:
  • Phone: 305-696-7772
  • Fax: 305-696-8556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JUAN YURI HERRERA
Title or Position: PRESIDENT
Credential: APRN
Phone: 305-696-7772