Provider Demographics
NPI:1114492394
Name:HEALING WOUNDS, HAPPIER HEARTS, LLC
Entity Type:Organization
Organization Name:HEALING WOUNDS, HAPPIER HEARTS, LLC
Other - Org Name:HEALING WOUNDS, HAPPIER HEARTS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSUE
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:MORAN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, AGPCNP-BC
Authorized Official - Phone:786-897-1748
Mailing Address - Street 1:8852 SW 25TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2019
Mailing Address - Country:US
Mailing Address - Phone:786-897-1748
Mailing Address - Fax:786-524-3165
Practice Address - Street 1:8852 SW 25TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2019
Practice Address - Country:US
Practice Address - Phone:786-897-1748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1316427313OtherNPI