Healthcare Provider Details

I. General information

NPI: 1316548019
Provider Name (Legal Business Name): RENACER ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2020
Last Update Date: 07/13/2023
Certification Date: 07/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1968 NW 7TH ST
MIAMI FL
33125-3411
US

IV. Provider business mailing address

1968 NW 7TH ST
MIAMI FL
33125-3411
US

V. Phone/Fax

Practice location:
  • Phone: 786-360-2471
  • Fax: 786-409-3743
Mailing address:
  • Phone: 786-360-2471
  • Fax: 786-409-3743

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: ROLANDO GARCIA
Title or Position: PRESIDENT
Credential:
Phone: 786-360-2471