Healthcare Provider Details

I. General information

NPI: 1902684434
Provider Name (Legal Business Name): MUSICUADRO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4921 NW 179TH TER
MIAMI GARDENS FL
33055-3247
US

IV. Provider business mailing address

4921 NW 179TH TER
MIAMI GARDENS FL
33055-3247
US

V. Phone/Fax

Practice location:
  • Phone: 786-663-1616
  • Fax:
Mailing address:
  • Phone: 786-663-1616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: LUDMILA MACIAS MARTINEZ
Title or Position: PRESIDENT
Credential:
Phone: 786-663-1616