Organization
LITTLE HAVANA ACTIVITIES AND NUTRITION CENTERS OF DADE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL IGLESIAS (CEO/PRESIDENT)
(305) 858-0887
Entity
Organization
Contact information
Practice address
8551 HAMMOCKS BLVD, MIAMI, FL 33193-4172
(305) 858-0887
Mailing address
700 SW 8TH ST, MIAMI, FL 33130-3311
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
9342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109883300
—
FL
Enumeration date
04/28/2016
Last updated
06/07/2021
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