MEDICARE: MOMENTOS ADULT DAY CARE 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
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1811718810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOMENTOS ADULT DAY CARE INC

Provider Business Mailing Address
First Line	:	3002 NW 7TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4204
Country	:	US
Telephone Number	:	786-534-3289
Fax Number	:

Provider Business Practice Location Address
First Line	:	3002 NW 7TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4204
Country	:	US
Telephone Number	:	786-534-3289
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIA MIRANDA
Credential	:
Telephone Number	:	305-608-3406

Provider Enumeration Date	:	10/22/2024
Last Update Date	:	10/22/2024

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Directions to “MOMENTOS ADULT DAY CARE INC ” Practice Location

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