MEDICARE: MIAMI SPECIAL CARE INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency
3	261QM1300X	Multi-Specialty Clinic/Center

Other Identifiers

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

General Provider Information

NPI Number	:	1558840801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI SPECIAL CARE INC

Provider Business Mailing Address
First Line	:	8080 W FLAGLER ST STE 1A
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2100
Country	:	US
Telephone Number	:	786-615-2240
Fax Number	:

Provider Business Practice Location Address
First Line	:	14730 SW 56TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-4041
Country	:	US
Telephone Number	:	786-431-1065
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LIVAN RODRIGUEZ
Credential	:
Telephone Number	:	786-470-5026

Provider Enumeration Date	:	08/08/2018
Last Update Date	:	12/19/2022

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Directions to “MIAMI SPECIAL CARE INC ” Practice Location

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