Healthcare Provider Details

I. General information

NPI: 1538366299
Provider Name (Legal Business Name): MIAMI CARE SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2775 W OKEECHOBEE RD LOT 49
HIALEAH FL
33010-1058
US

IV. Provider business mailing address

2775 W OKEECHOBEE RD LOT 49
HIALEAH FL
33010-1058
US

V. Phone/Fax

Practice location:
  • Phone: 305-888-9877
  • Fax: 305-888-9877
Mailing address:
  • Phone: 305-888-9877
  • Fax: 305-888-9877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberP07000073089
License Number StateFL

VIII. Authorized Official

Name: MRS. MARIA PILAR ZALDIVAR
Title or Position: OWNER
Credential:
Phone: 305-310-4922