Healthcare Provider Details

I. General information

NPI: 1063399392
Provider Name (Legal Business Name): DIAS DE GRACIA ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 E AUSTIN AVE
ALAMO TX
78516-5526
US

IV. Provider business mailing address

2500 N MCCOLL RD APT 6
MCALLEN TX
78501-0029
US

V. Phone/Fax

Practice location:
  • Phone: 281-300-6861
  • Fax:
Mailing address:
  • Phone: 281-300-6861
  • 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: DANIELA MICHELLE GONZALEZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 281-300-6861