Healthcare Provider Details

I. General information

NPI: 1144262833
Provider Name (Legal Business Name): MED-CARE MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9732 SW 24TH ST
MIAMI FL
33165-7513
US

IV. Provider business mailing address

9732 SW 24TH ST
MIAMI FL
33165-7513
US

V. Phone/Fax

Practice location:
  • Phone: 305-221-0660
  • Fax: 305-221-0696
Mailing address:
  • Phone: 305-221-0660
  • Fax: 305-221-0696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberHCC5018
License Number StateFL

VIII. Authorized Official

Name: CARLOS NAVARRO
Title or Position: PRESIDENT
Credential:
Phone: 305-221-0660