Healthcare Provider Details

I. General information

NPI: 1568974368
Provider Name (Legal Business Name): LA CARIDAD MEDICAL CENTER, CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2017
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2472 SW 137TH AVE
MIAMI FL
33175-6330
US

IV. Provider business mailing address

2472 SW 137TH AVE
MIAMI FL
33175-6330
US

V. Phone/Fax

Practice location:
  • Phone: 786-631-5116
  • Fax: 786-685-2511
Mailing address:
  • Phone: 786-631-5116
  • Fax: 786-685-2511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: MAGLEY MOREJON
Title or Position: OWNER
Credential:
Phone: 786-631-5116