Provider Demographics
NPI:1972177632
Name:MIS DIAS DORADOS ALF, INC.
Entity Type:Organization
Organization Name:MIS DIAS DORADOS ALF, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FLORA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-514-2405
Mailing Address - Street 1:18900 SW 197TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-1874
Mailing Address - Country:US
Mailing Address - Phone:786-495-9754
Mailing Address - Fax:786-814-1264
Practice Address - Street 1:18900 SW 197TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33187-1874
Practice Address - Country:US
Practice Address - Phone:786-495-9754
Practice Address - Fax:786-814-1264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12296OtherAHCA