Healthcare Provider Details

I. General information

NPI: 1609652247
Provider Name (Legal Business Name): EZCARE HEALTH CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2390 NW 7TH ST
MIAMI FL
33125-3226
US

IV. Provider business mailing address

2390 NW 7TH ST
MIAMI FL
33125-3226
US

V. Phone/Fax

Practice location:
  • Phone: 305-845-1845
  • Fax: 305-845-1847
Mailing address:
  • Phone: 305-845-1845
  • Fax: 305-845-1847

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 Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JORGE LUIS VEGA MORALES
Title or Position: CEO
Credential:
Phone: 305-928-3000