Healthcare Provider Details

I. General information

NPI: 1417945098
Provider Name (Legal Business Name): AVELINO RUBEN CARIDE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2005
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10095 N KENDALL DR STE 102
MIAMI FL
33176-1797
US

IV. Provider business mailing address

10095 N KENDALL DR STE 102
MIAMI FL
33176-1797
US

V. Phone/Fax

Practice location:
  • Phone: 305-595-5455
  • Fax: 305-595-5227
Mailing address:
  • Phone: 305-595-5455
  • Fax: 305-595-5227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME56983
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: