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Organization

SAZON CARIBENO EXPRESS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUBEN DE LA RUA (OWNER)
(786) 295-8540
Entity
Organization

Contact information

Practice address
7415 NW 54TH ST, MIAMI, FL 33166-4810
(786) 295-8540
Mailing address
1305 W 46TH ST APT 232, HIALEAH, FL 33012-3264
(786) 295-8540

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NOS2338062
DBPR
FL
01
NOS2338597
DBPR
FL
Enumeration date
08/01/2024
Last updated
01/30/2026
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