Healthcare Provider Details

I. General information

NPI: 1215862339
Provider Name (Legal Business Name): PRESTIGE CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8086 NW 10TH ST APT 7
MIAMI FL
33126-2848
US

IV. Provider business mailing address

8086 NW 10TH ST APT 7
MIAMI FL
33126-2848
US

V. Phone/Fax

Practice location:
  • Phone: 305-699-2549
  • Fax:
Mailing address:
  • Phone: 305-699-2549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EDELWIS GONZALEZ
Title or Position: CEO
Credential:
Phone: 786-486-2765