Healthcare Provider Details

I. General information

NPI: 1053311373
Provider Name (Legal Business Name): CARE RESOURCE COMMUNITY HEALTH CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 BISCAYNE BLVD
MIAMI FL
33137-3840
US

IV. Provider business mailing address

3510 BISCAYNE BLVD
MIAMI FL
33137-3859
US

V. Phone/Fax

Practice location:
  • Phone: 305-576-1234
  • Fax: 305-571-2020
Mailing address:
  • Phone: 305-576-1234
  • Fax: 305-571-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: DR. STEVEN SANTIAGO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 305-576-1234