Provider Demographics
NPI:1346399201
Name:FIESTA ADULT DAY CARE, INC.
Entity Type:Organization
Organization Name:FIESTA ADULT DAY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA MONTEMAYOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-722-0159
Mailing Address - Street 1:6508 N BARTLETT AVE STE A
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-6446
Mailing Address - Country:US
Mailing Address - Phone:956-722-0159
Mailing Address - Fax:956-723-4690
Practice Address - Street 1:6508 N BARTLETT AVE STE A
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6446
Practice Address - Country:US
Practice Address - Phone:956-722-0159
Practice Address - Fax:956-723-4690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251J00000XAgenciesNursing Care