Organization
REINALDO HERNANDEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRENE HERNANDEZ (OWNER)
(305) 266-5577
Entity
Organization
Contact information
Practice address
3310 SW 24TH ST, MIAMI, FL 33145-3134
(305) 266-5577
Mailing address
3310 SW 24TH ST, MIAMI, FL 33145-3134
(305) 266-5577
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
6905454
FL
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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