Provider Demographics
NPI:1679331912
Name:INTERAMERICAN HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:INTERAMERICAN HEALTH SOLUTIONS LLC
Other - Org Name:INTERAMERICAN HEALTH SOLUTIONS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZULEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-838-1401
Mailing Address - Street 1:10305 NW 41ST ST STE 126
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2982
Mailing Address - Country:US
Mailing Address - Phone:786-838-1401
Mailing Address - Fax:
Practice Address - Street 1:10305 NW 41ST ST STE 126
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2982
Practice Address - Country:US
Practice Address - Phone:786-838-1401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty