MEDICARE: MARGARITA ADULT DAYCARE LLC

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	261QA0600X	Adult Day Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9212	OTHER	FL	AHCA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104533587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARGARITA ADULT DAYCARE LLC

Provider Business Mailing Address
First Line	:	10989 SW 186TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33157-6812
Country	:	US
Telephone Number	:	305-256-9944
Fax Number	:	305-256-9955

Provider Business Practice Location Address
First Line	:	10989 SW 186TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33157-6812
Country	:	US
Telephone Number	:	305-256-9944
Fax Number	:	305-256-9955

Authorized Official
Title or Position	:	OWNER/ADMIN
Name	:	AIBLYS FERRIOL
Credential	:
Telephone Number	:	720-980-3252

Provider Enumeration Date	:	11/03/2022
Last Update Date	:	12/27/2022

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