OrganizationActive
For Life Medical Inc
NPI 1194129684 · Health Service Clinic/Center · Hialeah, FL
Provider details
- NPI number
- 1194129684
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mara Ventura, P(786) 254-7636
- License
- OS12833 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4355 W 16th Ave Ste 207a
Hialeah, FL 33012-7669
Phone: (786) 254-7636
Fax: (786) 254-7162
Street-level locationGet directions
Mailing address
4355 W 16th Ave Ste 207a
Hialeah, FL 33012-7669
Registry dates
- Enumerated
- 2014-10-13
- Last updated
- 2014-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.