Organization
SAN MARTINE DE PORRAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACARIO HUAITALLA (OWNER)
(305) 305-9882
Entity
Organization
Contact information
Practice address
16861 SW 92ND CT, PALMETTO BAY, FL 33157-4514
(305) 305-9882
Mailing address
16861 SW 92ND CT, PALMETTO BAY, FL 33157-4514
(305) 305-9882
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10485
FL
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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