Provider Demographics
NPI:1508183930
Name:HOPE FOR LIFE WELLNESS CENTER INC
Entity Type:Organization
Organization Name:HOPE FOR LIFE WELLNESS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:PEREZ-ESPINOSA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-885-1723
Mailing Address - Street 1:6095 NW 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-3737
Mailing Address - Country:US
Mailing Address - Phone:305-885-1723
Mailing Address - Fax:305-885-1748
Practice Address - Street 1:6095 NW 72ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-3737
Practice Address - Country:US
Practice Address - Phone:305-885-1723
Practice Address - Fax:305-885-1748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-25
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction MedicineGroup - Multi-Specialty