Healthcare Provider Details

I. General information

NPI: 1124992755
Provider Name (Legal Business Name): NUEVO DIA THERAPY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

13155 SW 42ND ST STE 108
MIAMI FL
33175-3428
US

IV. Provider business mailing address

13155 SW 42ND ST STE 108
MIAMI FL
33175-3428
US

V. Phone/Fax

Practice location:
  • Phone: 305-846-9079
  • Fax: 305-640-5129
Mailing address:
  • Phone: 305-846-9079
  • Fax: 305-640-5129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: SAILY COLINA SANCHEZ
Title or Position: CEO
Credential:
Phone: 305-846-9079