Provider Demographics
NPI:1982367421
Name:ABACA NURSING CARE INC
Entity Type:Organization
Organization Name:ABACA NURSING CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSISRIS
Authorized Official - Middle Name:AGUIAR
Authorized Official - Last Name:RRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-704-3037
Mailing Address - Street 1:12150 SW 128TH CT STE 115
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4648
Mailing Address - Country:US
Mailing Address - Phone:786-704-3037
Mailing Address - Fax:
Practice Address - Street 1:12150 SW 128TH CT STE 115
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4648
Practice Address - Country:US
Practice Address - Phone:786-704-3037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care