MEDICARE: CARE GRP, INC

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	171100000X	Acupuncturist	3521	FL
2	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	ME78266	FL

General Provider Information

NPI Number	:	1598130783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE GRP, INC

Provider Business Mailing Address
First Line	:	3600 RED RD
Second Line	:	SUITE 501
City	:	MIRAMAR
State	:	FL
Zip	:	33025-6013
Country	:	US
Telephone Number	:	212-877-5500
Fax Number	:	212-877-5504

Provider Business Practice Location Address
First Line	:	1560 BROADWAY
Second Line	:	SUITE 616
City	:	NEW YORK
State	:	NY
Zip	:	10036-1537
Country	:	US
Telephone Number	:	212-877-5500
Fax Number	:	212-877-5504

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	RAUL RODRIGUEZ
Credential	:	MD
Telephone Number	:	212-877-5500

Provider Enumeration Date	:	12/14/2015
Last Update Date	:	12/14/2015

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Directions to “CARE GRP, INC ” Practice Location

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