Provider Demographics
NPI:1538646104
Name:EL ALMENDRON CUBAN CUISINE LLC
Entity Type:Organization
Organization Name:EL ALMENDRON CUBAN CUISINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEONEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-978-0622
Mailing Address - Street 1:7281 SW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-5305
Mailing Address - Country:US
Mailing Address - Phone:305-978-0622
Mailing Address - Fax:305-387-1555
Practice Address - Street 1:7281 SW 13TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-5305
Practice Address - Country:US
Practice Address - Phone:305-978-0622
Practice Address - Fax:305-387-1555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAT2329604174200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals