Healthcare Provider Details

I. General information

NPI: 1215688866
Provider Name (Legal Business Name): MARGARET MIRALLES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2022
Last Update Date: 09/29/2026
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 W 12TH AVE STE 15A
HIALEAH FL
33012-4862
US

IV. Provider business mailing address

2900 W 12TH AVE STE 15A
HIALEAH FL
33012-4862
US

V. Phone/Fax

Practice location:
  • Phone: 305-456-1277
  • Fax: 786-801-1929
Mailing address:
  • Phone: 305-456-1277
  • Fax: 786-801-1929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: