Healthcare Provider Details

I. General information

NPI: 1104533587
Provider Name (Legal Business Name): MARGARITA ADULT DAYCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2022
Last Update Date: 12/27/2022
Certification Date: 12/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10989 SW 186TH ST
MIAMI FL
33157-6812
US

IV. Provider business mailing address

10989 SW 186TH ST
MIAMI FL
33157-6812
US

V. Phone/Fax

Practice location:
  • Phone: 305-256-9944
  • Fax: 305-256-9955
Mailing address:
  • Phone: 305-256-9944
  • Fax: 305-256-9955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AIBLYS FERRIOL
Title or Position: OWNER/ADMIN
Credential:
Phone: 720-980-3252