NPI Code Details Logo

NPI 1639022122

NPI 1639022122 : AZUCAR SENIOR CENTER : HOMESTEAD, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1639022122
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AZUCAR SENIOR CENTER 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/16/2026
-----------------------------------------------------
    Last Update Date     |    02/16/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    955 NE 18TH AVE 
-----------------------------------------------------
    City                 |    HOMESTEAD
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33033-4630
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    305-416-8178
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    955 NE 18TH AVE 
-----------------------------------------------------
    City                 |    HOMESTEAD
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33033-4630
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     SANDRA  POSADA 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    786-641-4900
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QA0600X
-----------------------------------------------------
    Taxonomy Name        |    Adult Day Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.