Organization
AMERICAN COMMUNITY HEALTH AND WELLNESS CENTER LLC
Active
Organization
AMERICAN COMMUNITY HEALTH AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE YALIAN BENITEZ (OWNER)
(786) 439-8048
Entity
Organization
Contact information
Practice address
3241 NW 7TH ST, MIAMI, FL 33125-4139
(786) 439-8048
Mailing address
3241 NW 7TH ST, MIAMI, FL 33125-4139
(786) 439-8048
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251B00000X
—
FL
05
—
251S00000X
—
FL
Enumeration date
08/13/2020
Last updated
01/11/2021
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