NPI Code Details Logo

NPI 1194602326

NPI 1194602326 : HEALICO FAMILY MEDICINE LLC : MIAMI, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1194602326
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HEALICO FAMILY MEDICINE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/19/2025
-----------------------------------------------------
    Last Update Date     |    12/26/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8783 SW 134TH ST 
-----------------------------------------------------
    City                 |    MIAMI
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33176-5930
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    786-290-9645
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8783 SW 134TH ST 
-----------------------------------------------------
    City                 |    MIAMI
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33176-5930
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    305-209-6145
-----------------------------------------------------
    Fax                  |    888-927-6030
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    FOUNDER & PRESIDENT
-----------------------------------------------------
    Name                 |     LILIANA  ESTEVEZ 
-----------------------------------------------------
    Credential           |    APRN, FNP-BC
-----------------------------------------------------
    Telephone            |    786-290-9645
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QP2300X
-----------------------------------------------------
    Taxonomy Name        |    Primary Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.