Healthcare Provider Details

I. General information

NPI: 1700394228
Provider Name (Legal Business Name): BARZAGA CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18646 NW 53RD AVE
MIAMI GARDENS FL
33055-5307
US

IV. Provider business mailing address

18646 NW 53RD AVE
MIAMI GARDENS FL
33055-5307
US

V. Phone/Fax

Practice location:
  • Phone: 786-458-0031
  • Fax:
Mailing address:
  • Phone: 786-458-0031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: YAQUELIN DIAZ BARZAGA
Title or Position: CEO
Credential: OWNER
Phone: 786-458-0031