Healthcare Provider Details

I. General information

NPI: 1194112219
Provider Name (Legal Business Name): HEALTH CONSULTING ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3143 NE 163RD ST
NORTH MIAMI BEACH FL
33160-4463
US

IV. Provider business mailing address

3143 NE 163RD ST
NORTH MIAMI BEACH FL
33160-4463
US

V. Phone/Fax

Practice location:
  • Phone: 305-343-1365
  • Fax: 305-705-2907
Mailing address:
  • Phone: 305-343-1365
  • Fax: 305-705-2907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number StateFL

VIII. Authorized Official

Name: ILEN RODRIGUEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 305-343-1365