Healthcare Provider Details

I. General information

NPI: 1558131912
Provider Name (Legal Business Name): ANCHOR HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5685 SW 72ND AVE
MIAMI FL
33143-1856
US

IV. Provider business mailing address

5685 SW 72ND AVE
MIAMI FL
33143-1856
US

V. Phone/Fax

Practice location:
  • Phone: 786-262-2831
  • Fax:
Mailing address:
  • Phone: 786-262-2831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JORGE E PEREZ
Title or Position: OWNER
Credential:
Phone: 786-262-5559