Organization
LITTLE HABANA WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS NIETO (PRESIDENT)
(786) 570-3900
Entity
Organization
Contact information
Practice address
849 SW 1ST ST, MIAMI, FL 33130-1207
(786) 353-9284
(786) 817-2518
Mailing address
849 SW 1ST ST, MIAMI, FL 33130-1207
(786) 353-9284
(786) 817-2518
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
04/11/2020
Last updated
04/11/2020
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