MEDICARE: AVANZA HEALTH 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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1932041407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVANZA HEALTH LLC

Provider Business Mailing Address
First Line	:	3191 CORAL WAY STE 619
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3230
Country	:	US
Telephone Number	:	786-304-8660
Fax Number	:

Provider Business Practice Location Address
First Line	:	3191 CORAL WAY STE 619
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-3230
Country	:	US
Telephone Number	:	786-304-8660
Fax Number	:

Authorized Official
Title or Position	:	OWNERSHIP
Name	:	MANUEL AVILA QUINTERO
Credential	:
Telephone Number	:	786-304-8660

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “AVANZA HEALTH LLC ” Practice Location

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