Organization
SILVER WINGS ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CARLOS LOPEZ MUNOZ (AMBR)
(786) 759-8868
Entity
Organization
Contact information
Practice address
12275 SW 187TH TERR, MIAMI, FL 33177-3111
(305) 381-1092
(305) 468-6821
Mailing address
12275 SW 187TH TERR, MIAMI, FL 33177-3111
(305) 381-1092
(305) 468-6821
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110743400
—
FL
01
—
13601
AHCA
FL
Enumeration date
06/15/2021
Last updated
02/06/2026
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