Healthcare Provider Details

I. General information

NPI: 1568385581
Provider Name (Legal Business Name): COMIDACAREMIAMI DELIVERY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13920 SW 139TH CT
MIAMI FL
33186-5513
US

IV. Provider business mailing address

3215 NW 3RD ST
MIAMI FL
33125-4901
US

V. Phone/Fax

Practice location:
  • Phone: 484-602-6811
  • Fax:
Mailing address:
  • Phone: 484-602-6811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: BRUNILDE COSTANTINO
Title or Position: PRESIDENT
Credential:
Phone: 484-602-6811