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General NPI Number Information
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NPI Number | 1568974368
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Entity Type | Organization
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Legal Business Name | LA CARIDAD MEDICAL CENTER, CORP
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Dates
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Enumeration Date | 11/02/2017
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 2472 SW 137TH AVE
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City | MIAMI
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State | FL
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Zip | 33175-6330
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Country | US
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Telephone | 786-631-5116
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Fax | 786-685-2511
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Provider Business Mailing Address
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Address Line | 2472 SW 137TH AVE
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City | MIAMI
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State | FL
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Zip | 33175-6330
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Country | US
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Telephone | 786-631-5116
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Fax | 786-685-2511
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Authorized Official
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Title or Position | OWNER
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Name | MAGLEY MOREJON
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Credential |
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Telephone | 786-631-5116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation 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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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