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NPI Code Detail

MEDICARE: RITECARE MEDICAL CENTER LLC

MEDICARE: RITECARE MEDICAL CENTER LLC
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
1261QU0200XUrgent Care Clinic/Center
2261Q00000XClinic/CenterME81042FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164407763
Entity Type Code : Organization
Provider Name (Legal Business Name) : RITECARE MEDICAL CENTER LLC
Provider Business Mailing Address
First Line : 915 W 49TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3412
Country : US
Telephone Number : 415-200-2099
Fax Number : 888-972-1912
Provider Business Practice Location Address
First Line : 915 W 49TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3412
Country : US
Telephone Number : 305-200-1225
Fax Number : 305-200-1225
Authorized Official
Title or Position : DIRECTOR
Name : MARLEY PAGE
Credential :
Telephone Number : 417-861-9739
Provider Enumeration Date : 12/07/2005
Last Update Date : 06/25/2025

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Directions to “RITECARE MEDICAL CENTER LLC ” Practice Location

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