I Am Equilibrium LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

I AM EQUILIBRIUM LLC

Practice address

6463 Bird Rd
Miami, FL 33155-4827

Phone

(305) 790-6125

NPI assigned

Jun 13, 2021

Organization subpart

No

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

Authorized official

Name

Ivette Agusti

Title

Cfo

Phone

(786) 543-1377

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Networks

• HealthSun Health Plans Network

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

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1932777356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6463 BIRD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554827",
            "telephone_number": "305-790-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6463 BIRD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554827",
            "telephone_number": "305-790-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I AM EQUILIBRIUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-13",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "AGUSTI",
        "authorized_official_first_name": "IVETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "786-543-1377"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110711600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community Health Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Community Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.