Healthcare Provider Details

I. General information

NPI: 1437394343
Provider Name (Legal Business Name): LA CARIDAD CLINICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2008
Last Update Date: 12/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 NW 27TH AVE STE 16
MIAMI FL
33125-5133
US

IV. Provider business mailing address

285 NW 27TH AVE STE 16
MIAMI FL
33125-5133
US

V. Phone/Fax

Practice location:
  • Phone: 305-644-5999
  • Fax: 305-644-5919
Mailing address:
  • Phone: 305-644-5999
  • Fax: 305-644-5919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RUBEN J. NUNEZ
Title or Position: MEDICAL DIRECTOR
Credential: M.D
Phone: 305-644-5999