Provider Demographics
NPI:1538867676
Name:ROCIO DEL SOL NACIENTE LLC
Entity type:Organization
Organization Name:ROCIO DEL SOL NACIENTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MONTOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-607-4840
Mailing Address - Street 1:11850 SW 189TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-3935
Mailing Address - Country:US
Mailing Address - Phone:305-238-9349
Mailing Address - Fax:305-238-9349
Practice Address - Street 1:11850 SW 189TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-3935
Practice Address - Country:US
Practice Address - Phone:305-238-9349
Practice Address - Fax:305-238-9349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10491OtherAHCA