Healthcare Provider Details

I. General information

NPI: 1245832575
Provider Name (Legal Business Name): SOL Y VIDA ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2020
Last Update Date: 11/11/2020
Certification Date: 11/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12769 SW 42ND ST STE 28-32
MIAMI FL
33175-3429
US

IV. Provider business mailing address

12769 SW 42ND ST STE 28-32
MIAMI FL
33175-3429
US

V. Phone/Fax

Practice location:
  • Phone: 305-576-9999
  • Fax: 305-722-3586
Mailing address:
  • Phone: 305-576-9999
  • Fax: 305-722-3586

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: YOLANDA RODRIGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-576-9999