Provider Demographics
NPI:1477182939
Name:MARIANA'S ALF CORP.
Entity Type:Organization
Organization Name:MARIANA'S ALF CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:CIRO
Authorized Official - Middle Name:J
Authorized Official - Last Name:DE LOS RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-514-6597
Mailing Address - Street 1:6890 SW 39TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3704
Mailing Address - Country:US
Mailing Address - Phone:786-332-3277
Mailing Address - Fax:305-603-9831
Practice Address - Street 1:6890 SW 39TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3704
Practice Address - Country:US
Practice Address - Phone:786-332-3277
Practice Address - Fax:305-603-9831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility