Provider Demographics
NPI:1073157285
Name:DELICIAS DE CHAVELA CORP
Entity type:Organization
Organization Name:DELICIAS DE CHAVELA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARID
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-980-8004
Mailing Address - Street 1:2711 SW 137TH AVENUE
Mailing Address - Street 2:SUITE 75
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175
Mailing Address - Country:US
Mailing Address - Phone:305-922-0729
Mailing Address - Fax:305-418-0264
Practice Address - Street 1:2711 SW 137TH AVENUE
Practice Address - Street 2:SUITE 75
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175
Practice Address - Country:US
Practice Address - Phone:305-922-0729
Practice Address - Fax:305-418-0264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals