Healthcare Provider Details

I. General information

NPI: 1891624441
Provider Name (Legal Business Name): INVERSIONES LOS CUATRO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 S MIAMI AVE STE A
MIAMI FL
33130-1914
US

IV. Provider business mailing address

350 S MIAMI AVE STE A
MIAMI FL
33130-1914
US

V. Phone/Fax

Practice location:
  • Phone: 772-999-1819
  • Fax:
Mailing address:
  • Phone: 772-999-1819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP4000X
TaxonomyPhysician Nutrition Specialist (Anesthesiology)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2080B0002X
TaxonomyPediatric Obesity Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ALEJANDRO ANTONIO ANEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 772-999-1819