Healthcare Provider Details

I. General information

NPI: 1821467531
Provider Name (Legal Business Name): PASSION FOR CARE & SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2015
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 NW 82ND AVE STE 202
DORAL FL
33166-6652
US

IV. Provider business mailing address

3625 NW 82ND AVE STE 202
DORAL FL
33166-6652
US

V. Phone/Fax

Practice location:
  • Phone: 786-612-7745
  • Fax: 888-206-1341
Mailing address:
  • Phone: 786-612-7745
  • Fax: 888-206-1341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: MS. GELVIS QUESADA
Title or Position: PRESIDENT
Credential:
Phone: 786-502-6042