Healthcare Provider Details

I. General information

NPI: 1730576513
Provider Name (Legal Business Name): LOYALTY CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2015
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7171 SW 24TH ST STE 417A
MIAMI FL
33155-1693
US

IV. Provider business mailing address

7171 SW 24TH ST STE 417A
MIAMI FL
33155-1693
US

V. Phone/Fax

Practice location:
  • Phone: 786-615-6620
  • Fax:
Mailing address:
  • Phone:
  • 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 Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: NELSON M MARTINEZ
Title or Position: OWNER
Credential:
Phone: 786-615-6620