Healthcare Provider Details

I. General information

NPI: 1952762437
Provider Name (Legal Business Name): ANOS DORADOS ADULT DAY CARE ACTIVITY AND RECREATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2016
Last Update Date: 03/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14711 PALMETTO PALM AVE
MIAMI LAKES FL
33014-2674
US

IV. Provider business mailing address

7751 W 28TH AVE UNIT 11
HIALEAH FL
33016-5113
US

V. Phone/Fax

Practice location:
  • Phone: 305-608-5167
  • Fax:
Mailing address:
  • Phone: 305-608-5167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number9341
License Number StateFL

VIII. Authorized Official

Name: ANIET LOSADA
Title or Position: PRESIDENT
Credential:
Phone: 305-608-5167