Healthcare Provider Details

I. General information

NPI: 1487562245
Provider Name (Legal Business Name): CANDYALDY THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3657 SW 154TH CT
MIAMI FL
33185-4787
US

IV. Provider business mailing address

3657 SW 154TH CT
MIAMI FL
33185-4787
US

V. Phone/Fax

Practice location:
  • Phone: 786-449-5323
  • Fax:
Mailing address:
  • Phone: 786-449-5323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: CANDIDA I RUIZ CACERES
Title or Position: OWNER
Credential:
Phone: 786-449-5323