Provider Demographics
NPI:1588393060
Name:HEISU RESEARCH GROUP LLC
Entity type:Organization
Organization Name:HEISU RESEARCH GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:CUESTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-705-3475
Mailing Address - Street 1:100 NW 170TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5510
Mailing Address - Country:US
Mailing Address - Phone:305-705-3475
Mailing Address - Fax:305-974-5371
Practice Address - Street 1:100 NW 170TH ST STE 105
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-5510
Practice Address - Country:US
Practice Address - Phone:305-705-3475
Practice Address - Fax:305-974-5371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch