Healthcare Provider Details

I. General information

NPI: 1649570839
Provider Name (Legal Business Name): CUERPOS CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2010
Last Update Date: 02/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8226 W FLAGLER ST
MIAMI FL
33144-2028
US

IV. Provider business mailing address

8226 W FLAGLER ST
MIAMI FL
33144-2028
US

V. Phone/Fax

Practice location:
  • Phone: 305-225-2535
  • Fax:
Mailing address:
  • Phone: 305-225-2535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME22082
License Number StateFL

VIII. Authorized Official

Name: DR. WILLIAM J ESPINOZA
Title or Position: PRESIDENT
Credential: MD
Phone: 305-225-2535