Healthcare Provider Details

I. General information

NPI: 1003530882
Provider Name (Legal Business Name): MED-CARE MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 09/27/2022
Certification Date: 09/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 NW 7TH ST STE 102
MIAMI FL
33125-3744
US

IV. Provider business mailing address

3010 SW 102ND PL
MIAMI FL
33165-2825
US

V. Phone/Fax

Practice location:
  • Phone: 786-534-3806
  • Fax:
Mailing address:
  • Phone: 305-221-0660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JORGE MARIO URRA
Title or Position: PRESIDENT
Credential:
Phone: 305-221-0660