Healthcare Provider Details

I. General information

NPI: 1508444399
Provider Name (Legal Business Name): NEW DAY COMMUNITY SERVICES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 04/13/2021
Certification Date: 04/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16430 NW 59TH AVE STE 202
MIAMI LAKES FL
33014-5605
US

IV. Provider business mailing address

16430 NW 59TH AVE STE 202
MIAMI LAKES FL
33014-5605
US

V. Phone/Fax

Practice location:
  • Phone: 786-641-4117
  • Fax:
Mailing address:
  • Phone: 786-641-4117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YAIMARA PEREZ
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 786-641-4117