Organization
TA JOSE AND SOL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE LAZARO MOLINA SOLTERO (OWNER/ADMINISTRATOR)
(786) 712-4589
Entity
Organization
Contact information
Practice address
2018B SW 4TH ST, MIAMI, FL 33135-1812
(786) 712-4589
Mailing address
2018B SW 4TH ST, MIAMI, FL 33135-1812
(786) 712-4589
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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