# AGAPE HEALTH PROVIDER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AGAPE HEALTH PROVIDER LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275106049
- **Authorized official:** RAFAEL I VALENZUELA JARAMILLO (OWNER)
- **Authorized official phone:** (305) 434-0526

## Contact information

- **Practice address:** 7171 CORAL WAY STE 404, MIAMI, FL 33155-1693
- **Practice address phone:** (305) 434-0526
- **Mailing address:** 7171 CORAL WAY STE 404, MIAMI, FL 33155-1693
- **Mailing address phone:** (305) 434-0526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/20/2021
- **Last updated:** 09/13/2021