Organization
BUENA VIDA WELLNESS CENTER, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS DIAZ RN (PRESIDENT)
(305) 335-3638
Entity
Organization
Contact information
Practice address
12769 SW 42ND ST STE 28-32, MIAMI, FL 33175-3429
(305) 576-9999
(305) 722-3586
Mailing address
12769 SW 42ND ST STE 28-32, MIAMI, FL 33175-3429
(305) 576-9999
(305) 722-3586
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2021
Last updated
05/11/2022
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