Provider Demographics
NPI:1104592526
Name:HEY CLINIC FOR HEALTH CORP
Entity type:Organization
Organization Name:HEY CLINIC FOR HEALTH CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ VASALLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-553-4995
Mailing Address - Street 1:5545 SW 8TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2276
Mailing Address - Country:US
Mailing Address - Phone:786-553-4995
Mailing Address - Fax:
Practice Address - Street 1:5545 SW 8TH ST STE 102
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2276
Practice Address - Country:US
Practice Address - Phone:786-553-4995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS14126Medicaid