Healthcare Provider Details

I. General information

NPI: 1659034791
Provider Name (Legal Business Name): LITTLE GIANTS KIDS SERVICE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2021
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 PONCE DE LEON BLVD
CORAL GABLES FL
33134
US

IV. Provider business mailing address

1919 PONCE DE LEON BLVD
CORAL GABLES FL
33134-4412
US

V. Phone/Fax

Practice location:
  • Phone: 305-910-7026
  • Fax:
Mailing address:
  • Phone: 305-910-7026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM3000X
TaxonomyMedically Fragile Infants and Children Day Care
License Number
License Number State

VIII. Authorized Official

Name: MADELIN MONTANO
Title or Position: OWNER
Credential:
Phone: 305-910-7026