Healthcare Provider Details

I. General information

NPI: 1962220673
Provider Name (Legal Business Name): DYNAMIC CARE SYSTEMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2024
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20928 S DIXIE HWY
MIAMI FL
33189-2220
US

IV. Provider business mailing address

20928 S DIXIE HWY
MIAMI FL
33189-2220
US

V. Phone/Fax

Practice location:
  • Phone: 786-803-4349
  • Fax: 786-901-8340
Mailing address:
  • Phone: 786-859-0874
  • Fax: 786-901-8340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: YAIMETT ORTEGA
Title or Position: OWNER
Credential:
Phone: 786-803-4349