# PUERTO AMIGO HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346919057
- **Authorized official:** MR. IVAN GEOVANNI BERMEO (MANAGER)
- **Authorized official phone:** (954) 599-5185

## Contact information

- **Practice address:** 3301 N COUNTRY CLUB DR APT 501, AVENTURA, FL 33180-1614
- **Practice address phone:** (954) 599-5185
- **Mailing address:** 3301 N COUNTRY CLUB DR APT 501, AVENTURA, FL 33180-1614
- **Mailing address phone:** (954) 599-5185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2021
- **Last updated:** 09/07/2021