Healthcare Provider Details

I. General information

NPI: 1174907356
Provider Name (Legal Business Name): DLY CASE MANAGEMENT SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2015
Last Update Date: 07/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12350 SW 132ND CT SUITE 110
MIAMI FL
33186-6456
US

IV. Provider business mailing address

12350 SW 132ND CT SUITE 110
MIAMI FL
33186-6456
US

V. Phone/Fax

Practice location:
  • Phone: 786-871-1699
  • Fax: 786-429-1808
Mailing address:
  • Phone: 786-871-1699
  • Fax: 786-429-1808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: MAIKEL LOPEZ
Title or Position: OWNER
Credential:
Phone: 786-871-1699