Healthcare Provider Details

I. General information

NPI: 1548089048
Provider Name (Legal Business Name): LA COLONIA WELLNESS CENTER POMPANO BEACH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2024
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 W SAMPLE RD BLDG 1
POMPANO BEACH FL
33073-3081
US

IV. Provider business mailing address

167 W 23RD ST
HIALEAH FL
33010-2211
US

V. Phone/Fax

Practice location:
  • Phone: 305-823-3312
  • Fax:
Mailing address:
  • Phone: 305-608-1082
  • Fax:

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: MS. DAINERYS ROJAS
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 305-608-1082