Healthcare Provider Details

I. General information

NPI: 1477833663
Provider Name (Legal Business Name): OCHOA HOLDINGS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2011
Last Update Date: 08/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10265 NICARAGUA DR
CUTLER BAY FL
33189-2340
US

IV. Provider business mailing address

10265 NICARAGUA DR
CUTLER BAY FL
33189-2340
US

V. Phone/Fax

Practice location:
  • Phone: 305-282-7371
  • Fax: 305-278-7334
Mailing address:
  • Phone: 305-282-7371
  • Fax: 305-278-7334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License NumberAL11987
License Number StateFL

VIII. Authorized Official

Name: CARLOS OCHOA
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 786-344-3318