Healthcare Provider Details

I. General information

NPI: 1841004538
Provider Name (Legal Business Name): LAS MERCEDES ADULT DAY CARE V, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 02/04/2025
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1247 W 44TH PL
HIALEAH FL
33012-3331
US

IV. Provider business mailing address

9839 SW 40TH ST
MIAMI FL
33165-3993
US

V. Phone/Fax

Practice location:
  • Phone: 305-912-8595
  • Fax: 786-636-6989
Mailing address:
  • Phone: 305-912-8595
  • Fax: 786-636-6989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CLARA RIVAS
Title or Position: DIRECTOR
Credential:
Phone: 305-915-8595