Healthcare Provider Details

I. General information

NPI: 1922377449
Provider Name (Legal Business Name): JOSE FRANCISCO CARA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2011
Last Update Date: 12/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 E 42ND ST 219 - 8/7
NEW YORK NY
10017-5703
US

IV. Provider business mailing address

235 E 42ND ST 219 - 8/7
NEW YORK NY
10017-5703
US

V. Phone/Fax

Practice location:
  • Phone: 212-733-6966
  • Fax:
Mailing address:
  • Phone: 212-733-6966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number4301059134
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: