Healthcare Provider Details

I. General information

NPI: 1598130783
Provider Name (Legal Business Name): CARE GRP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2015
Last Update Date: 12/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 BROADWAY SUITE 616
NEW YORK NY
10036-1537
US

IV. Provider business mailing address

3600 RED RD SUITE 501
MIRAMAR FL
33025-6013
US

V. Phone/Fax

Practice location:
  • Phone: 212-877-5500
  • Fax: 212-877-5504
Mailing address:
  • Phone: 212-877-5500
  • Fax: 212-877-5504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number3521
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License NumberME78266
License Number StateFL

VIII. Authorized Official

Name: RAUL RODRIGUEZ
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 212-877-5500