Provider Demographics
NPI:1174268072
Name:OGRA CORP
Entity Type:Organization
Organization Name:OGRA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRALLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-201-3678
Mailing Address - Street 1:2900 W 12TH AVE STE 15A
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4862
Mailing Address - Country:US
Mailing Address - Phone:305-456-1277
Mailing Address - Fax:786-801-1929
Practice Address - Street 1:2900 W 12TH AVE STE 15A
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4862
Practice Address - Country:US
Practice Address - Phone:305-456-1277
Practice Address - Fax:786-801-1929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-04
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty