MEDICARE: ANOS DORADOS ADULT DAY CARE ACTIVITY AND RECREATION CENTER

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	9341	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9341	OTHER	FL	AHCA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952762437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANOS DORADOS ADULT DAY CARE ACTIVITY AND RECREATION CENTER

Provider Business Mailing Address
First Line	:	7751 W 28TH AVE
Second Line	:	UNIT 11
City	:	HIALEAH
State	:	FL
Zip	:	33016-5113
Country	:	US
Telephone Number	:	305-608-5167
Fax Number	:

Provider Business Practice Location Address
First Line	:	14711 PALMETTO PALM AVE
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2674
Country	:	US
Telephone Number	:	305-608-5167
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANIET LOSADA
Credential	:
Telephone Number	:	305-608-5167

Provider Enumeration Date	:	03/11/2016
Last Update Date	:	03/11/2016

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