Healthcare Provider Details

I. General information

NPI: 1710830864
Provider Name (Legal Business Name): UNIVIDA ADC WEST MIAMI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 SW 8TH ST STE 102
WEST MIAMI FL
33144-4814
US

IV. Provider business mailing address

6400 SW 8TH ST STE 102
WEST MIAMI FL
33144-4814
US

V. Phone/Fax

Practice location:
  • Phone: 786-715-6657
  • Fax: 786-416-0021
Mailing address:
  • Phone: 786-715-6657
  • Fax: 786-416-0021

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: MAILYN FERNANDEZ
Title or Position: ADMINISTRATOR
Credential: ADMINISTRATOR
Phone: 786-715-6657