Provider Demographics
NPI:1881226975
Name:JURADO, CLARA I
Entity Type:Individual
Prefix:
First Name:CLARA
Middle Name:I
Last Name:JURADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10030 HAMMOCKS BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3768
Mailing Address - Country:US
Mailing Address - Phone:305-283-9965
Mailing Address - Fax:
Practice Address - Street 1:459 NW 132ND PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33182-1629
Practice Address - Country:US
Practice Address - Phone:305-898-4162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care