De Las Mercedes Alf Corp

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

12623 Issued in FL

Legal business name

DE LAS MERCEDES ALF CORP

Practice address

7012 N Orleans Ave
Tampa, FL 33604-4734

Phone

(813) 785-2894

Fax

(813) 930-0545

NPI assigned

Sep 6, 2018

Organization subpart

No

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

Authorized official

Name

Daily Pena

Title

Administrator

Phone

(813) 785-2894

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1831671775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 N ORLEANS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336044734",
            "telephone_number": "813-785-2894",
            "fax_number": "813-930-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7012 N ORLEANS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336044734",
            "telephone_number": "813-785-2894",
            "fax_number": "813-930-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LAS MERCEDES ALF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "DAILY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-785-2894"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "12623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "12623",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margarita De la Rosa, CBHCM
• Marisol De la Rosa
• Vanessa De la Rosa, BCBA
• Ariel De la Torre Cruz
• Alina De la Torre, DMD
• Leniel Alejandro De Leon Dumenigo
• Lydiana De Leon
• Julia De Lima Farah Agi, MD
• Orismelcy De Los Reyes Pupo
• De Los Rios Alf Corp

• Assisted Living Facility (Mental Illness) in Tampa, FL
• Providers in Tampa, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.