Healthcare Provider Details

I. General information

NPI: 1801104930
Provider Name (Legal Business Name): ALMA ATA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2010
Last Update Date: 12/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9260 HAMMOCKS BLVD STE 201
MIAMI FL
33196
US

IV. Provider business mailing address

9260 HAMMOCKS BLVD STE 201
MIAMI FL
33196-1584
US

V. Phone/Fax

Practice location:
  • Phone: 786-292-2329
  • Fax: 786-292-2290
Mailing address:
  • Phone: 786-292-2329
  • Fax: 786-292-2290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD CUELLO FUENTES
Title or Position: MANAGER
Credential: MD
Phone: 305-859-7719