MEDICARE: BELEN HEALTH CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1407657190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELEN HEALTH CENTER LLC

Provider Business Mailing Address
First Line	:	13117 NW 107TH AVE STE 1
Second Line	:
City	:	HIALEAH GDNS
State	:	FL
Zip	:	33018-1163
Country	:	US
Telephone Number	:	305-796-3544
Fax Number	:	786-652-1642

Provider Business Practice Location Address
First Line	:	5890 NW 173RD DR
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-5103
Country	:	US
Telephone Number	:	305-796-3544
Fax Number	:	786-652-1642

Authorized Official
Title or Position	:	CORP MGR
Name	:	ENRIQUE ZAMORA
Credential	:
Telephone Number	:	305-796-3544

Provider Enumeration Date	:	03/20/2025
Last Update Date	:	03/20/2025

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Directions to “BELEN HEALTH CENTER LLC ” Practice Location

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