Provider Demographics
NPI:1649705187
Name:INMUHEALTH GROUP LLC
Entity type:Organization
Organization Name:INMUHEALTH GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:VEGA MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-274-5319
Mailing Address - Street 1:10899 SW 72ND ST STE 203
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2722
Mailing Address - Country:US
Mailing Address - Phone:305-274-5319
Mailing Address - Fax:305-274-5320
Practice Address - Street 1:10899 SW 72ND ST STE 203
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2722
Practice Address - Country:US
Practice Address - Phone:305-274-5319
Practice Address - Fax:305-274-5320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization