Healthcare Provider Details

I. General information

NPI: 1235496522
Provider Name (Legal Business Name): CARITAS ALEGRES ADULT DAY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2012
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401-2407 NW 7TH ST
MIAMI FL
33125
US

IV. Provider business mailing address

2401-2407 NW 7TH ST
MIAMI FL
33125
US

V. Phone/Fax

Practice location:
  • Phone: 786-725-7837
  • Fax: 786-391-0069
Mailing address:
  • Phone: 786-725-7837
  • Fax: 786-391-0069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number StateFL

VIII. Authorized Official

Name: YENI CORCHO AREVALO
Title or Position: OWNER
Credential:
Phone: 786-725-7837