La Edad Dorada Corp

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

LA EDAD DORADA CORP

Practice address

1071 NW 119TH St
North Miami, FL 33168-6240

Phone

(786) 803-8271

Fax

(786) 803-8291

NPI assigned

Dec 20, 2020

Last updated

Dec 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jorge Clavero

Title

President

Phone

(786) 553-2717

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608422400000",
    "number": "1528654860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 NW 119TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331686240",
            "telephone_number": "786-803-8271",
            "fax_number": "786-803-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 NW 119TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331686240",
            "telephone_number": "786-803-8271",
            "fax_number": "786-803-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA EDAD DORADA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-20",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A",
        "authorized_official_last_name": "CLAVERO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-553-2717"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Kusunose, DPT, PT
• L & B Solution Care Inc
• L & G and Associates
• La Colonia Medical Center Inc
• La Colonia Wellness Center North Miami LLC
• La Tans, Spa & Medical Aesthetics Inc
• Ana Margarita Labiste Portuondo
• Elizabeth Gabriela Laduzinski, M.S.
• Carline Lahens
• Klaus Laleau

• Adult Day Care Clinic/Center in North Miami, FL
• Providers in North Miami, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; 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.