MEDICARE: CARIBE MEDICAL CENTER 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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1750336699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARIBE MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	11373 W FLAGLER ST
Second Line	:	SUITE 202
City	:	MIAMI
State	:	FL
Zip	:	33174-4203
Country	:	US
Telephone Number	:	305-223-7314
Fax Number	:

Provider Business Practice Location Address
First Line	:	11373 W FLAGLER ST
Second Line	:	SUITE 202
City	:	MIAMI
State	:	FL
Zip	:	33174-4203
Country	:	US
Telephone Number	:	305-223-7314
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MIGUEL VALDES
Credential	:
Telephone Number	:	305-223-7314

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	08/22/2020

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Directions to “CARIBE MEDICAL CENTER INC ” Practice Location

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