Provider Demographics
NPI:1356653471
Name:HAPPY EYES & HAPPY EARS CORP.
Entity Type:Organization
Organization Name:HAPPY EYES & HAPPY EARS CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:P
Authorized Official - Last Name:PRIMAVESI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-346-1254
Mailing Address - Street 1:5445 COLLINS AVE APT M19
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2564
Mailing Address - Country:US
Mailing Address - Phone:305-924-7277
Mailing Address - Fax:
Practice Address - Street 1:1200 ALTON RD
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-3810
Practice Address - Country:US
Practice Address - Phone:786-346-1254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty