MEDICARE: MI ARCOIRIS FAMILY CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	AL8530	FL

General Provider Information

NPI Number	:	1063621555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MI ARCOIRIS FAMILY CARE

Provider Business Mailing Address
First Line	:	431 E 10TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-3631
Country	:	US
Telephone Number	:	786-337-6357
Fax Number	:

Provider Business Practice Location Address
First Line	:	431 E 10TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-3631
Country	:	US
Telephone Number	:	786-337-6357
Fax Number	:	305-225-1289

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. SAILE CRUZ
Credential	:
Telephone Number	:	786-337-6357

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	08/22/2020

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Directions to “MI ARCOIRIS FAMILY CARE ” Practice Location

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