Healthcare Provider Details
I. General information
NPI: 1417541269
Provider Name (Legal Business Name): DALBERTUS WELLNESS AND HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2021
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9240 SW 72ND ST STE 241
MIAMI FL
33173-3265
US
IV. Provider business mailing address
1160 W 54TH ST
HIALEAH FL
33012-2452
US
V. Phone/Fax
- Phone: 305-271-1919
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DILMA
ALBERTUS
Title or Position: OWNER
Credential: APRN
Phone: 786-808-8361