Organization
LAS TAZITAS CANTINAS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAEL CASTILLA (PRESIDENT)
(786) 586-6033
Entity
Organization
Contact information
Practice address
1640 W 33RD PL, HIALEAH, FL 33012-4514
(786) 586-6033
Mailing address
7821 NW 174TH TER, HIALEAH, FL 33015-3619
(786) 586-6033
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/20/2025
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