Healthcare Provider Details

I. General information

NPI: 1346166550
Provider Name (Legal Business Name): D'LA GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3105 NW 107TH AVE STE 424
DORAL FL
33172-2185
US

IV. Provider business mailing address

3105 NW 107TH AVE STE 424
DORAL FL
33172-2185
US

V. Phone/Fax

Practice location:
  • Phone: 305-321-8180
  • Fax: 786-434-6680
Mailing address:
  • Phone: 305-321-8180
  • Fax: 786-434-6680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: LARITZA HERNANDEZ JORGE
Title or Position: OWNER
Credential:
Phone: 305-321-8180