Healthcare Provider Details

I. General information

NPI: 1871301366
Provider Name (Legal Business Name): ABI HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2024
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13050 SW 56TH TER
MIAMI FL
33183-1210
US

IV. Provider business mailing address

13050 SW 56TH TER
MIAMI FL
33183-1210
US

V. Phone/Fax

Practice location:
  • Phone: 786-757-1941
  • Fax:
Mailing address:
  • Phone: 786-757-1941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name: CELIO HERNANDEZ
Title or Position: CEO
Credential:
Phone: 786-757-1941