Humanis Vita Health Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HUMANIS VITA HEALTH CARE LLC

Practice address

4445 W 16TH Ave Ste 300
Hialeah, FL 33012-7190

Phone

(786) 778-7449

Fax

(786) 685-3908

NPI assigned

Aug 27, 2024

Organization subpart

No

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

Authorized official

Name

Juan Acosta Guzman, ARNPNPI 1154919603

Title

Owner

Phone

(786) 234-7253

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Acosta Guzman, APRN

  • Nurse Practitioner
  • Hialeah, FL
  • NPI 1154919603
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1720812381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE STE 300",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127190",
            "telephone_number": "786-778-7449",
            "fax_number": "786-685-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE STE 300",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127190",
            "telephone_number": "786-778-7449",
            "fax_number": "786-685-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANIS VITA HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "ACOSTA GUZMAN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-234-7253",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.