Healthcare Provider Details

I. General information

NPI: 1386269496
Provider Name (Legal Business Name): ESPERANZA GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2020
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13195 SW 134TH ST STE 101-103
MIAMI FL
33186-4499
US

IV. Provider business mailing address

13195 SW 134TH ST STE 101-103
MIAMI FL
33186-4499
US

V. Phone/Fax

Practice location:
  • Phone: 786-227-6830
  • Fax: 786-524-2413
Mailing address:
  • Phone: 786-227-6830
  • Fax: 786-524-2413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YURINIA AVILA
Title or Position: PRESIDENT
Credential: APRN
Phone: 832-944-9967