Provider Demographics
NPI:1760938906
Name:DE CARDENAS SERVICES CORP
Entity Type:Organization
Organization Name:DE CARDENAS SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MADELEINE
Authorized Official - Middle Name:BARBARA
Authorized Official - Last Name:GARCIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-989-2682
Mailing Address - Street 1:955 SW 2ND AVE APT 1010
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-3581
Mailing Address - Country:US
Mailing Address - Phone:305-921-3415
Mailing Address - Fax:
Practice Address - Street 1:955 SW 2ND AVE APT 1010
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-3581
Practice Address - Country:US
Practice Address - Phone:305-921-3415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care