Provider Demographics
NPI:1225541741
Name:DE HOSTOS SENIOR CENTER INC
Entity Type:Organization
Organization Name:DE HOSTOS SENIOR CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:305-573-6220
Mailing Address - Street 1:2902 NW 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127-3905
Mailing Address - Country:US
Mailing Address - Phone:305-573-6220
Mailing Address - Fax:305-573-2193
Practice Address - Street 1:2902 NW 2ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-3905
Practice Address - Country:US
Practice Address - Phone:305-573-6220
Practice Address - Fax:305-573-2193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center