Provider Demographics
NPI:1558952085
Name:ESPERANZA CARE CENTER CORP
Entity Type:Organization
Organization Name:ESPERANZA CARE CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DENISLEYDIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DENIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-525-6428
Mailing Address - Street 1:12968 SW 133RD CT UNIT 35
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5806
Mailing Address - Country:US
Mailing Address - Phone:786-525-6428
Mailing Address - Fax:
Practice Address - Street 1:12968 SW 133RD CT UNIT 35
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5806
Practice Address - Country:US
Practice Address - Phone:786-525-6428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health