Healthcare Provider Details

I. General information

NPI: 1023947173
Provider Name (Legal Business Name): ANILIN HEALTH & AESTHETIC MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7119 W 13TH AVE
HIALEAH FL
33014-4514
US

IV. Provider business mailing address

7119 W 13TH AVE
HIALEAH FL
33014-4514
US

V. Phone/Fax

Practice location:
  • Phone: 786-523-6263
  • Fax: 305-390-3638
Mailing address:
  • Phone: 786-523-6263
  • Fax: 305-390-3638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANILIN LOPEZ GONZALEZ
Title or Position: AUTONOMOUS PRACTICE APRN. NP
Credential:
Phone: 786-523-6263