Provider Demographics
NPI:1073398871
Name:SNAP HUMAN ALIGNMENT OF MIAMI BEACH LLC
Entity Type:Organization
Organization Name:SNAP HUMAN ALIGNMENT OF MIAMI BEACH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PURCHASER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-593-3622
Mailing Address - Street 1:815 NW 57TH AVE STE 405
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2054
Mailing Address - Country:US
Mailing Address - Phone:786-593-3622
Mailing Address - Fax:
Practice Address - Street 1:6879 COLLINS AVE
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-3243
Practice Address - Country:US
Practice Address - Phone:305-331-6697
Practice Address - Fax:305-888-5299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Multi-Specialty