Organization
PUERTO AMIGO HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN GEOVANNI BERMEO (MANAGER)
(954) 599-5185
Entity
Organization
Contact information
Practice address
3301 N COUNTRY CLUB DR APT 501711, AVENTURA, FL 33180-1669
(954) 599-5185
Mailing address
3301 N COUNTRY CLUB DR APT 501711, AVENTURA, FL 33180-1669
(954) 599-5185
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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