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NPI Code Detail

MEDICARE: CAMINO D ESPERANZA

MEDICARE: CAMINO D ESPERANZA
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
1310400000XAssisted Living FacilityAL 10003FL

General Provider Information

NPI Number : 1851509681
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMINO D ESPERANZA
Provider Business Mailing Address
First Line : 5903 SW 147TH PL
Second Line :
City : MIAMI
State : FL
Zip : 33193-2454
Country : US
Telephone Number : 305-382-2570
Fax Number : 305-225-1289
Provider Business Practice Location Address
First Line : 5903 SW 147TH PL
Second Line :
City : MIAMI
State : FL
Zip : 33193-2454
Country : US
Telephone Number : 305-382-2570
Fax Number : 305-225-1289
Authorized Official
Title or Position : OWNER
Name : MARIA RODRIGUEZ
Credential :
Telephone Number : 305-382-2570
Provider Enumeration Date : 05/17/2007
Last Update Date : 07/18/2007

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Directions to “CAMINO D ESPERANZA ” Practice Location

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