MEDICARE: GENERAL CARE SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1033827050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERAL CARE SERVICES INC

Provider Business Mailing Address
First Line	:	16341 SW 145TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-1733
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16341 SW 145TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-1733
Country	:	US
Telephone Number	:	786-348-9230
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSE RAMON CHANG MORENO
Credential	:
Telephone Number	:	786-348-9230

Provider Enumeration Date	:	11/08/2022
Last Update Date	:	11/08/2022

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