Bocasa Gourmet, LLC.

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

BOCASA GOURMET, LLC.

Practice address

4709 SW 72ND Ave
Miami, FL 33155

Phone

(305) 519-3895

NPI assigned

Jul 22, 2015

Organization subpart

No

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

Authorized official

Name

Lizbet Dominguez Vila

Title

Owner

Phone

(305) 519-3895

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1447635271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 SW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-519-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 SW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-519-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCASA GOURMET, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ VILA",
        "authorized_official_first_name": "LIZBET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-519-3895"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015597700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Bocaille, MD
• Gilsis Bocalandro Toro, ARNP FNP
• Bocanegra Health Services
• Ginna Cecilia Bocanegra
• Julio Ernesto Bocanegra, L.M.T.
• Richard Joseph Boccio III, MD
• Nataliya Bocharova
• Anamaris Bocija Rodriguez
• Carly Boda
• Stephen Bodden

• Attendant Care Provider in Miami, FL
• Providers in Miami, FL by specialty
• Attendant Care Provider in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.