Provider Demographics
| NPI: | 1982587309 |
|---|---|
| Name: | HI 5 HEALTH LLC |
| Entity type: | Organization |
| Organization Name: | HI 5 HEALTH LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO / PRESIDENT |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | JUAN |
| Authorized Official - Middle Name: | C |
| Authorized Official - Last Name: | GOMEZ |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | PMD |
| Authorized Official - Phone: | 754-206-8240 |
| Mailing Address - Street 1: | 5901 NW 151ST ST STE 116 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MIAMI LAKES |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33014-2454 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 754-206-8240 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 5901 NW 151ST ST STE 116 |
| Practice Address - Street 2: | |
| Practice Address - City: | MIAMI LAKES |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33014-2454 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 754-206-8240 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-07-31 |
| Last Update Date: | 2025-07-31 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 163WW0000X | Nursing Service Providers | Registered Nurse | Wound Care | Group - Multi-Specialty |
| No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty | |
| No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
| No | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | Group - Multi-Specialty |
| No | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Multi-Specialty | |
| No | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | Group - Multi-Specialty | |
| No | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | ||
| No | 261QI0500X | Ambulatory Health Care Facilities | Clinic/Center | Infusion Therapy | |
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
| No | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | Primary Care | |
| No | 261QR0401X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| No | 291U00000X | Laboratories | Clinical Medical Laboratory | ||
| No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty |
