NPI 1003129669

San Martine de Porras

Organisation Assisted Living Facility Palmetto Bay, FL

Practice location

Address: 16861 SW 92nd CT, Palmetto Bay, FL 33157-4514
Phone: (305) 305-9882

Authorised official

Name: Macario Huaitalla
Title: Owner
Phone: (305) 305-9882

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL10485 (FL)

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Registry record

NPI: 1003129669
Entity type: Organization
NPI issued: 23 Jul 2010
Record last updated: 23 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.