Provider Demographics
NPI:1063192045
Name:MURILLOCARE GROUP LLC
Entity type:Organization
Organization Name:MURILLOCARE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MURILLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-646-6953
Mailing Address - Street 1:16699 COLLINS AVE APT 3303
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-5422
Mailing Address - Country:US
Mailing Address - Phone:305-646-6953
Mailing Address - Fax:305-646-6954
Practice Address - Street 1:1300 SW 27TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-1233
Practice Address - Country:US
Practice Address - Phone:305-646-6953
Practice Address - Fax:305-646-6954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center