Provider Demographics
NPI:1972328094
Name:ALLIANCE HEALTH CENTER LLC
Entity type:Organization
Organization Name:ALLIANCE HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YADIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES ZENEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-985-9689
Mailing Address - Street 1:13255 SW 137TH AVE STE 217
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5328
Mailing Address - Country:US
Mailing Address - Phone:786-985-9689
Mailing Address - Fax:
Practice Address - Street 1:13255 SW 137TH AVE STE 217
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5328
Practice Address - Country:US
Practice Address - Phone:786-985-9689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)