Provider Demographics
NPI:1689496937
Name:R & A PROFESSIONAL CARE LLC
Entity type:Organization
Organization Name:R & A PROFESSIONAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CFO
Authorized Official - Prefix:
Authorized Official - First Name:AGUSTIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HONDARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-519-3632
Mailing Address - Street 1:5201 WATERFORD DISTRICT DR STE 859
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2064
Mailing Address - Country:US
Mailing Address - Phone:786-519-3632
Mailing Address - Fax:
Practice Address - Street 1:5201 WATERFORD DISTRICT DR STE 859
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2064
Practice Address - Country:US
Practice Address - Phone:786-519-3632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care