Belen Health LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

BELEN HEALTH LLC

Practice address

13117 NW 107TH Ave Ste E1
Hialeah Gardens, FL 33018-1165

Phone

(786) 409-3413

Fax

(786) 409-3432

NPI assigned

Jul 5, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Enrique Zamora

Title

PRVP

Phone

(305) 796-3544

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1215599618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13117 NW 107TH AVE STE E1",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330181165",
            "telephone_number": "305-796-3544",
            "fax_number": "786-652-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13117 NW 107TH AVE STE E1",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330181165",
            "telephone_number": "786-409-3413",
            "fax_number": "786-409-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELEN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2022-08-19",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRVP",
        "authorized_official_telephone_number": "305-796-3544"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.