Provider Demographics
NPI:1215599618
Name:BELEN HEALTH LLC
Entity Type:Organization
Organization Name:BELEN HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRVP
Authorized Official - Prefix:
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-796-3544
Mailing Address - Street 1:13117 NW 107TH AVE STE E1
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1165
Mailing Address - Country:US
Mailing Address - Phone:305-796-3544
Mailing Address - Fax:786-652-1642
Practice Address - Street 1:13117 NW 107TH AVE STE E1
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-1165
Practice Address - Country:US
Practice Address - Phone:786-409-3413
Practice Address - Fax:786-409-3432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-05
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization