Healthcare Provider Details

I. General information

NPI: 1245195486
Provider Name (Legal Business Name): D&D COMMUNITY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1444 W 49TH ST
HIALEAH FL
33012-3219
US

IV. Provider business mailing address

235 SW 32ND AVE
MIAMI FL
33135-1106
US

V. Phone/Fax

Practice location:
  • Phone: 786-439-9847
  • Fax: 786-334-5066
Mailing address:
  • Phone: 786-703-5459
  • Fax: 786-345-0666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DANET ARVELO HERNANDEZ
Title or Position: OWNER
Credential:
Phone: 786-703-5459