MEDICARE: CLINICARE CORPORATION

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1750856316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINICARE CORPORATION

Provider Business Mailing Address
First Line	:	68 SAN FERNANDO
Second Line	:	VILLA SOL
City	:	MAYAGEZ
State	:	PR
Zip	:	00680
Country	:	US
Telephone Number	:	787-214-2272
Fax Number	:

Provider Business Practice Location Address
First Line	:	68 SAN FERNANDO ST.
Second Line	:	URB. VILLA SOL
City	:	MAYAGUEZ
State	:	PR
Zip	:	00680-0068
Country	:	US
Telephone Number	:	787-214-2722
Fax Number	:

Authorized Official
Title or Position	:	GENERAL PARTNER
Name	:	EMILIO J CORDERO
Credential	:	JD
Telephone Number	:	787-400-3468

Provider Enumeration Date	:	10/10/2018
Last Update Date	:	07/21/2022

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Directions to “CLINICARE CORPORATION ” Practice Location

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