Healthcare Provider Details

I. General information

NPI: 1457620874
Provider Name (Legal Business Name): MEJOR VIDA ADULT DAY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2011
Last Update Date: 11/18/2020
Certification Date: 11/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 E. FM 495 STE. 1, 2, 3
SAN JUAN TX
78589
US

IV. Provider business mailing address

1209 E. FM 495 STE. 1, 2, 3
SAN JUAN TX
78589
US

V. Phone/Fax

Practice location:
  • Phone: 956-782-1584
  • Fax: 956-782-1586
Mailing address:
  • Phone: 956-782-1584
  • Fax: 956-782-1586

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: CLAUDIA E. ESPIRICUETA DE CAVAZOS
Title or Position: OWNER
Credential:
Phone: 956-460-6968