Provider Demographics
NPI:1477531044
Name:NEW LIFE HEALTH CARE INC
Entity Type:Organization
Organization Name:NEW LIFE HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMNIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-271-3549
Mailing Address - Street 1:9835 SW 72ND ST
Mailing Address - Street 2:STE 108
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4670
Mailing Address - Country:US
Mailing Address - Phone:305-271-3549
Mailing Address - Fax:305-271-3257
Practice Address - Street 1:9835 SW 72ND ST
Practice Address - Street 2:STE 108
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4670
Practice Address - Country:US
Practice Address - Phone:305-271-3549
Practice Address - Fax:305-271-3257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-04
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL686772261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686772Medicare Oscar/Certification