Healthcare Provider Details

I. General information

NPI: 1871737890
Provider Name (Legal Business Name): VENUS HEALTH CENTER, CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2009
Last Update Date: 04/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 SW 137TH AVE SUITE #226
MIAMI FL
33175-8802
US

IV. Provider business mailing address

2450 SW 137TH AVE SUITE #226
MIAMI FL
33175-8802
US

V. Phone/Fax

Practice location:
  • Phone: 305-229-8512
  • Fax: 305-229-8513
Mailing address:
  • Phone: 305-229-8512
  • Fax: 305-229-8513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. IDANIA CARIDAD ESCANIO
Title or Position: PRESIDENT
Credential:
Phone: 305-229-8512