Healthcare Provider Details

I. General information

NPI: 1275467870
Provider Name (Legal Business Name): ENCANTO HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8356 SW 40TH ST STE L
MIAMI FL
33155-3356
US

IV. Provider business mailing address

8356 SW 40TH ST STE L
MIAMI FL
33155-3356
US

V. Phone/Fax

Practice location:
  • Phone: 786-843-1614
  • Fax:
Mailing address:
  • Phone: 786-843-1614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MADELYN VALDES
Title or Position: MBR/OWNER
Credential:
Phone: 786-843-1614