Healthcare Provider Details

I. General information

NPI: 1902163645
Provider Name (Legal Business Name): DEL CASTILLO ADULT DAY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2012
Last Update Date: 10/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3536 WEST FLAGLER ST.
MIAMI FL
33135
US

IV. Provider business mailing address

3536 WEST FLAGLER ST.
MIAMI FL
33135
US

V. Phone/Fax

Practice location:
  • Phone: 786-531-0848
  • Fax: 786-502-4097
Mailing address:
  • Phone: 786-531-0848
  • Fax: 786-502-4097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number9197
License Number StateFL

VIII. Authorized Official

Name: YOLANDA GUERRA
Title or Position: OWNER
Credential:
Phone: 786-760-4212