Healthcare Provider Details

I. General information

NPI: 1255571337
Provider Name (Legal Business Name): MIAMI UNITED HOME HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2009
Last Update Date: 06/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2666 NW 97TH AVE # 3E
DORAL FL
33172-1400
US

IV. Provider business mailing address

2666 NW 97TH AVE # 3E
DORAL FL
33172-1400
US

V. Phone/Fax

Practice location:
  • Phone: 305-420-6674
  • Fax:
Mailing address:
  • Phone: 305-420-6674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. ALFREDO D BARYOLO CARDOSO
Title or Position: PRESIDENT
Credential: LPN
Phone: 305-420-6674