Healthcare Provider Details

I. General information

NPI: 1023783511
Provider Name (Legal Business Name): CARE DIMENSIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2021
Last Update Date: 08/16/2021
Certification Date: 07/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9999 NE 2ND AVE STE 203
MIAMI SHORES FL
33138-2345
US

IV. Provider business mailing address

9999 NE 2ND AVE STE 203
MIAMI SHORES FL
33138-2345
US

V. Phone/Fax

Practice location:
  • Phone: 786-580-5131
  • Fax:
Mailing address:
  • Phone: 786-580-5131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: WILFREDO MORALES GONZALEZ
Title or Position: CEO
Credential:
Phone: 305-591-7898