Healthcare Provider Details

I. General information

NPI: 1730543737
Provider Name (Legal Business Name): IFA ADULTS CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2016
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9755 SW 40TH TER
MIAMI FL
33165-5165
US

IV. Provider business mailing address

14008 SW 8TH ST
MIAMI FL
33184
US

V. Phone/Fax

Practice location:
  • Phone: 786-747-4903
  • Fax: 786-332-2389
Mailing address:
  • Phone: 786-747-4903
  • Fax: 786-332-2389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number9344
License Number StateFL

VIII. Authorized Official

Name: JOSE DOMINGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 786-747-4903