Provider Demographics
NPI:1194423798
Name:DORAL HEALTHCARE SOLUTIONS LLC
Entity type:Organization
Organization Name:DORAL HEALTHCARE SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-622-1413
Mailing Address - Street 1:7791 NW 46TH ST STE 123
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5481
Mailing Address - Country:US
Mailing Address - Phone:786-622-1413
Mailing Address - Fax:786-622-1580
Practice Address - Street 1:7791 NW 46TH ST STE 123
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-5481
Practice Address - Country:US
Practice Address - Phone:786-622-1413
Practice Address - Fax:786-622-1580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health