Provider Demographics
NPI:1952762437
Name:ANOS DORADOS ADULT DAY CARE ACTIVITY AND RECREATION CENTER
Entity Type:Organization
Organization Name:ANOS DORADOS ADULT DAY CARE ACTIVITY AND RECREATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANIET
Authorized Official - Middle Name:
Authorized Official - Last Name:LOSADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-608-5167
Mailing Address - Street 1:7751 W 28TH AVE
Mailing Address - Street 2:UNIT 11
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5113
Mailing Address - Country:US
Mailing Address - Phone:305-608-5167
Mailing Address - Fax:
Practice Address - Street 1:14711 PALMETTO PALM AVE
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2674
Practice Address - Country:US
Practice Address - Phone:305-608-5167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-11
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9341261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9341OtherAHCA