Provider Demographics
NPI:1073048310
Name:INSTA HEALTH, CORP
Entity type:Organization
Organization Name:INSTA HEALTH, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-662-9696
Mailing Address - Street 1:2742 SW 8TH ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-4650
Mailing Address - Country:US
Mailing Address - Phone:786-828-7758
Mailing Address - Fax:786-828-7759
Practice Address - Street 1:2742 SW 8TH ST
Practice Address - Street 2:SUITE 11
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-4650
Practice Address - Country:US
Practice Address - Phone:786-828-7758
Practice Address - Fax:786-828-7759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-25
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251S00000X
FLHCC10974261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health