Provider Demographics
NPI:1558829366
Name:FLORA ALF INC.
Entity Type:Organization
Organization Name:FLORA ALF INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ FAIFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-602-0100
Mailing Address - Street 1:403 NORTHWEST BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-4166
Mailing Address - Country:US
Mailing Address - Phone:786-362-6046
Mailing Address - Fax:305-551-6894
Practice Address - Street 1:403 NORTHWEST BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4166
Practice Address - Country:US
Practice Address - Phone:786-362-6046
Practice Address - Fax:305-551-6894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-11
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility