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NPI Code Detail

MEDICARE: MIAMI NUTITION CATERING INC

MEDICARE: MIAMI NUTITION CATERING INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174200000XMeals ProviderCAT2329545FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
182-151604OTHERFLCATERING

General Provider Information

NPI Number : 1700397270
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIAMI NUTITION CATERING INC
Provider Business Mailing Address
First Line : 420 PALM AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4718
Country : US
Telephone Number : 786-553-8488
Fax Number : 786-513-6424
Provider Business Practice Location Address
First Line : 420 PALM AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33010-4718
Country : US
Telephone Number : 786-553-8488
Fax Number : 786-513-6424
Authorized Official
Title or Position : PRESIDENT
Name : ALEJANDRO ABERTO SANTANA
Credential :
Telephone Number : 786-553-8488
Provider Enumeration Date : 10/23/2017
Last Update Date : 11/07/2023

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Directions to “MIAMI NUTITION CATERING INC ” Practice Location

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