Healthcare Provider Details
I. General information
NPI: 1265073159
Provider Name (Legal Business Name): HHA ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2019
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4960 SW 72ND AVE STE 301
MIAMI FL
33155-5549
US
IV. Provider business mailing address
PO BOX 61160
CORPUS CHRISTI TX
78466-1160
US
V. Phone/Fax
- Phone: 877-832-2652
- Fax: 800-792-9021
- Phone: 877-832-2652
- Fax: 800-792-9021
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALYN
CRISTINA
CASAL-FERNANDEZ
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 305-562-7663