Healthcare Provider Details

I. General information

NPI: 1588371025
Provider Name (Legal Business Name): SOMY CARE SERVICE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2022
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11980 SW 144TH CT STE 110
MIAMI FL
33186-8603
US

IV. Provider business mailing address

11980 SW 144TH CT STE 110
MIAMI FL
33186-8603
US

V. Phone/Fax

Practice location:
  • Phone: 786-534-2174
  • Fax: 305-675-5987
Mailing address:
  • Phone: 786-534-2174
  • Fax: 305-675-5987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: SORAYA LOPEZ
Title or Position: PRESIDENT
Credential:
Phone: 786-623-9622