Organization
RAY OF LIGHT HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS ALBERTO PEREZ (PRESIDENT/OWNER)
(786) 399-9946
Entity
Organization
Contact information
Practice address
12862 SW 55TH ST, MIAMI, FL 33175-6214
(786) 399-9946
Mailing address
12862 SW 55TH ST, MIAMI, FL 33175-6214
(786) 399-9946
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
385HR2055X
Child Mental Illness Respite Care
—
FL
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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