NPIMap

Organization Active NPI

Azucar Adult Day Care

  • Adult Day Care Clinic/Center
  • Miami, FL
National Provider Identifier
1396088936
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
9235 Issued in FL
Legal business name
AZUCAR ADULT DAY CARE
Practice address
8655 SW 24TH St
Suite C
Miami, FL 33155-2337
Phone
(305) 815-8367
Fax
(305) 748-2544
NPI assigned
Apr 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lissette Gancedo
Title
Administrator
Phone
(305) 815-8367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 9235 FL Primary

Addresses

Primary practice location

8655 SW 24TH St
Suite C
Miami, FL 33155-2337

Mailing address

8655 SW 24TH St
Suite C
Miami, FL 33155-2337
Phone (305) 815-8367

Other identifiers 1

IdentifierTypeStateIssuer
9235OtherFLAGENCY FOR HEALTH CARE ADMINISTRATION- DIVISION OF HEALTH QUALITY ASSURANCE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1396088936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8655 SW 24TH ST",
            "address_2": "SUITE C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552337",
            "telephone_number": "305-815-8367",
            "fax_number": "305-748-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8655 SW 24TH ST",
            "address_2": "SUITE C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552337",
            "telephone_number": "305-815-8367",
            "fax_number": "305-748-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZUCAR ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "GANCEDO",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-815-8367",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY FOR HEALTH CARE ADMINISTRATION- DIVISION OF HEALTH QUALITY ASSURANCE",
            "identifier": "9235",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.