Healthcare Provider Details

I. General information

NPI: 1154018257
Provider Name (Legal Business Name): MICHAEL ROSS HUAMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 NW 14TH ST STE 510
MIAMI FL
33125-1659
US

IV. Provider business mailing address

1758 1ST AVE APT 6
NEW YORK NY
10128-5914
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-5554
  • Fax:
Mailing address:
  • Phone: 646-573-7791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: