Healthcare Provider Details

I. General information

NPI: 1396091070
Provider Name (Legal Business Name): RITECARE MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2012
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 S MIAMI AVE
MIAMI FL
33130-4100
US

IV. Provider business mailing address

1250 S MIAMI AVE
MIAMI FL
33130-4100
US

V. Phone/Fax

Practice location:
  • Phone: 305-571-6250
  • Fax: 305-571-6251
Mailing address:
  • Phone: 415-200-2099
  • Fax: 888-972-1912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberME81042
License Number StateFL

VIII. Authorized Official

Name: MARLEY PAGE
Title or Position: DIRECTOR
Credential:
Phone: 417-861-9739