Healthcare Provider Details

I. General information

NPI: 1386564060
Provider Name (Legal Business Name): AMA INTEGRATIVE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5277 NW 190TH LN
MIAMI GARDENS FL
33055-2386
US

IV. Provider business mailing address

5277 NW 190TH LN
MIAMI GARDENS FL
33055-2386
US

V. Phone/Fax

Practice location:
  • Phone: 786-291-5797
  • Fax:
Mailing address:
  • Phone: 786-291-5797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ALBA M ALFONSO
Title or Position: OWNER
Credential: APRN-FNP
Phone: 786-291-5797