Healthcare Provider Details

I. General information

NPI: 1801090592
Provider Name (Legal Business Name): SANTOS'S ADULT DAY CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 08/01/2022
Certification Date: 08/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13359 S.W. 42 STREET
MIAMI FL
33175
US

IV. Provider business mailing address

13359 S.W. 42 STREET
MIAMI FL
33175
US

V. Phone/Fax

Practice location:
  • Phone: 786-785-1687
  • Fax: 786-431-2581
Mailing address:
  • Phone: 786-785-1687
  • Fax: 786-431-2581

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: YANET RODRIGUEZ
Title or Position: OWNER
Credential:
Phone: 305-821-1613