Healthcare Provider Details

I. General information

NPI: 1760951446
Provider Name (Legal Business Name): UNICA ADULT DAY CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2018
Last Update Date: 11/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11391 W FLAGLER ST
MIAMI FL
33174-1185
US

IV. Provider business mailing address

13710 SW 30TH ST
MIAMI FL
33175-6605
US

V. Phone/Fax

Practice location:
  • Phone: 305-491-4359
  • Fax:
Mailing address:
  • Phone: 305-491-4359
  • Fax:

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: MR. ANDRES MARESMA
Title or Position: CEO
Credential:
Phone: 305-491-4359