Healthcare Provider Details

I. General information

NPI: 1164062576
Provider Name (Legal Business Name): U PERSONAL CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2020
Last Update Date: 09/16/2021
Certification Date: 09/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12772 SW 209TH ST
MIAMI FL
33177-7412
US

IV. Provider business mailing address

12772 SW 209TH ST
MIAMI FL
33177-7412
US

V. Phone/Fax

Practice location:
  • Phone: 786-769-0020
  • Fax:
Mailing address:
  • Phone: 786-769-0020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIA DEL ROSARIO CORREA QUINTERO
Title or Position: CEO
Credential:
Phone: 305-794-2070