MEDICARE: LITTLE HABANA WELLNESS 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	261Q00000X	Clinic/Center
2	251S00000X	Community/Behavioral Health Agency

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

General Provider Information

NPI Number	:	1952920746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE HABANA WELLNESS CENTER INC

Provider Business Mailing Address
First Line	:	849 SW 1ST ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33130-1207
Country	:	US
Telephone Number	:	786-353-9284
Fax Number	:	786-817-2518

Provider Business Practice Location Address
First Line	:	849 SW 1ST ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33130-1207
Country	:	US
Telephone Number	:	786-353-9284
Fax Number	:	786-817-2518

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LUIS NIETO
Credential	:
Telephone Number	:	786-570-3900

Provider Enumeration Date	:	04/11/2020
Last Update Date	:	04/11/2020

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1528178506 — AMERICAN REHAB OF MIAMI, INC.
Practice Location Address:

851 SW 1ST ST
MIAMI, FL
33130-1207

Practice Phone: 305-545-0444
Practice Fax: 305-545-0497

1952598583 — AMERICAN REHAB OF MIAMI INC
Practice Location Address:

851 SW 1ST ST
MIAMI, FL
33130-1207

Practice Phone: 786-302-4926
Practice Fax: 305-545-0596

1144555467 — PHARMALIFE CONSULTANT INC
Practice Location Address:

801 SW 1ST ST
MIAMI, FL
33130-1207

Practice Phone: 305-545-5586
Practice Fax: 305-545-5587

1205604592 — DAGOBERTO BUENO MARTIN
Practice Location Address:

175 SW 7TH ST STE 1207
MIAMI, FL
33130-2952

Practice Phone: 786-681-6811
Practice Fax:

1578302105 — MIL SONRISAS MEDICAL CENTER INC
Practice Location Address:

849 SW 1ST ST
MIAMI, FL
33130-1207

Practice Phone: 786-953-5721
Practice Fax: 305-810-4991

Directions to “LITTLE HABANA WELLNESS CENTER INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.