Healthcare Provider Details

I. General information

NPI: 1386092427
Provider Name (Legal Business Name): AMP GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2016
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2464 SW 22ND ST
MIAMI FL
33145-3419
US

IV. Provider business mailing address

2464 SW 22ND ST
MIAMI FL
33145-3419
US

V. Phone/Fax

Practice location:
  • Phone: 305-204-9355
  • Fax: 305-640-8034
Mailing address:
  • Phone: 305-204-9355
  • Fax: 305-640-8034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: LILY OQUENDO
Title or Position: PRACTICE MANAGER
Credential:
Phone: 305-204-9355