Healthcare Provider Details

I. General information

NPI: 1659092005
Provider Name (Legal Business Name): INMUHEALTH COMMUNITY GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2022
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9495 SW 72ND ST STE B180
MIAMI FL
33173-5424
US

IV. Provider business mailing address

9495 SW 72ND ST STE B180
MIAMI FL
33173-5424
US

V. Phone/Fax

Practice location:
  • Phone: 305-274-5319
  • Fax: 305-274-5320
Mailing address:
  • Phone: 305-274-5319
  • Fax: 305-274-5320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. NATALIA VEGA
Title or Position: CEO/ DIR
Credential:
Phone: 305-928-1111