Organization
MIAMI ASTURIAS HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO ANDRADE (OWNER)
(786) 312-3723
Entity
Organization
Contact information
Practice address
10854 SW 69TH DR, MIAMI, FL 33173-2008
(305) 275-9640
(305) 275-9640
Mailing address
10854 SW 69TH DR, MIAMI, FL 33173-2008
(305) 275-9640
(305) 275-9640
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11188
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142953100
PROVIDER MEDICAID NUMBER
FL
Enumeration date
04/15/2008
Last updated
04/22/2019
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