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General NPI Number Information
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NPI Number | 1669338364
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Entity Type | Organization
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Legal Business Name | HI 5 LLC
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Dates
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Enumeration Date | 12/27/2025
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Last Update Date | 12/27/2025
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Provider Practice Location Address
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Address Line | 5901 NW 151ST ST STE 116
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2454
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Country | US
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Telephone | 754-206-8240
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Fax | 954-824-2440
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Provider Business Mailing Address
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Address Line | 5901 NW 151ST ST STE 116
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2454
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Country | US
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Telephone | 754-206-8240
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Fax | 954-824-2440
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JUAN CARLOS GOMEZ
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Credential |
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Telephone | 754-206-8240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WI0600X
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Taxonomy Name | Infection Control Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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