Healthcare Provider Details

I. General information

NPI: 1497474241
Provider Name (Legal Business Name): AMA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2022
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 NE 30TH TER STE 100
HOMESTEAD FL
33033-7614
US

IV. Provider business mailing address

9041 NW 115TH ST
HIALEAH GARDENS FL
33018-4124
US

V. Phone/Fax

Practice location:
  • Phone: 305-764-1791
  • Fax:
Mailing address:
  • Phone: 305-764-1791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ALDO MENENDEZ ARCIA
Title or Position: MANAGER
Credential: PA
Phone: 305-764-1791