MEDICARE: AMERICAN FAMILY HEALTH CENTER,INC

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	ME77127	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487684569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN FAMILY HEALTH CENTER,INC

Provider Business Mailing Address
First Line	:	PO BOX 278004
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-8004
Country	:	US
Telephone Number	:	305-231-8996
Fax Number	:	305-231-8433

Provider Business Practice Location Address
First Line	:	777 E 25TH ST STE 304
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-3849
Country	:	US
Telephone Number	:	305-231-8996
Fax Number	:	305-231-8433

Authorized Official
Title or Position	:	MEDICAL DIRECTOR/ PRESIDENT
Name	:	MR. FELIX ALEJANDRO RODRIGUEZ
Credential	:	MD
Telephone Number	:	305-231-8996

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	01/30/2024

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