Healthcare Provider Details

I. General information

NPI: 1841596616
Provider Name (Legal Business Name): CARE PRO D & D INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2011
Last Update Date: 08/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4995 NW 72ND AVE STE 203
MIAMI FL
33166-5643
US

IV. Provider business mailing address

4995 NW 72ND AVE STE 203
MIAMI FL
33166-5643
US

V. Phone/Fax

Practice location:
  • Phone: 305-888-9877
  • Fax:
Mailing address:
  • Phone: 305-888-9877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIA DEL PILAR ZALDIVAR
Title or Position: PRESIDENT
Credential:
Phone: 305-310-4922