Organization
DIVERSIFIED HEALTH CARE ASSOCIATES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS M MUGUERCIA (PRESIDENT)
(305) 388-2282
Entity
Organization
Contact information
Practice address
14331 SW 120TH ST, SUITE 108, MIAMI, FL 33186-7293
(308) 388-2282
(305) 388-2283
Mailing address
14331 SW 120TH ST, SUITE 108, MIAMI, FL 33186-7298
(308) 388-2282
(305) 388-2283
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING MEDICARE#
PENDING MEDICARE#
FL
Enumeration date
05/19/2008
Last updated
01/14/2009
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