Healthcare Provider Details

I. General information

NPI: 1407803067
Provider Name (Legal Business Name): SAN RAFAEL CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7805 SW 24TH ST SUITE 110
MIAMI FL
33155-6539
US

IV. Provider business mailing address

7805 SW 24TH ST SUITE 110
MIAMI FL
33155-6539
US

V. Phone/Fax

Practice location:
  • Phone: 305-265-7944
  • Fax: 305-265-7943
Mailing address:
  • Phone: 305-265-7944
  • Fax: 305-265-7943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number32:01006
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number7879
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number7879
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: DAVID R. BATISTA
Title or Position: PRESIDENT
Credential:
Phone: 305-265-7944