MEDICARE: LA CARIDAD CLINICA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1437394343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LA CARIDAD CLINICA

Provider Business Mailing Address
First Line	:	285 NW 27TH AVE STE 16
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-5133
Country	:	US
Telephone Number	:	305-644-5999
Fax Number	:	305-644-5919

Provider Business Practice Location Address
First Line	:	285 NW 27TH AVE STE 16
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-5133
Country	:	US
Telephone Number	:	305-644-5999
Fax Number	:	305-644-5919

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. RUBEN J. NUNEZ
Credential	:	M.D
Telephone Number	:	305-644-5999

Provider Enumeration Date	:	12/05/2008
Last Update Date	:	12/05/2008

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Directions to “LA CARIDAD CLINICA ” Practice Location

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