Healthcare Provider Details

I. General information

NPI: 1588965172
Provider Name (Legal Business Name): ALMA-ATA HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2010
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3185 SW 8TH ST
MIAMI FL
33135-4533
US

IV. Provider business mailing address

3185 SW 8TH ST
MIAMI FL
33135-4533
US

V. Phone/Fax

Practice location:
  • Phone: 305-532-8355
  • Fax: 305-532-9675
Mailing address:
  • Phone: 305-532-8355
  • Fax: 305-532-9675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD CUELLO FUENTES
Title or Position: MANAGER
Credential: MD
Phone: 305-532-8355