Healthcare Provider Details

I. General information

NPI: 1902629033
Provider Name (Legal Business Name): SJ RESEARCH INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2024
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13501 SW 128TH ST STE 112
MIAMI FL
33186-5862
US

IV. Provider business mailing address

13501 SW 128TH ST STE 112
MIAMI FL
33186-5862
US

V. Phone/Fax

Practice location:
  • Phone: 786-732-2383
  • Fax: 786-685-2322
Mailing address:
  • Phone: 786-732-2383
  • Fax: 786-685-2322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JESSICA SAAVEDRA
Title or Position: OWNER
Credential:
Phone: 786-685-2322