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General NPI Number Information
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NPI Number | 1174540017
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Entity Type | Organization
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Legal Business Name | CARICARE FAMILY HEALTH SERVICES, L.L.C
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 9149 ESTATE THOMAS PARAGON MEDICAL BUILDING, SUITE 301
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City | ST THOMAS
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State | VI
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Zip | 00802-2687
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Country | US
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Telephone | 340-776-8112
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Fax | 340-776-8113
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Provider Business Mailing Address
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Address Line | PO BOX 307266
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City | ST THOMAS
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State | VI
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Zip | 00803-7266
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Country | US
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Telephone | 340-776-8112
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Fax | 340-776-8113
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Authorized Official
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Title or Position | MANAGER
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Name | REVA A RICHARDSON
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Credential | MD
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Telephone | 340-776-8112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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