Provider Demographics
NPI:1194038596
Name:CARE R US CORP
Entity type:Organization
Organization Name:CARE R US CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-896-7832
Mailing Address - Street 1:4345 SW 72ND AVE
Mailing Address - Street 2:G
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4530
Mailing Address - Country:US
Mailing Address - Phone:239-896-7832
Mailing Address - Fax:305-675-2668
Practice Address - Street 1:4345 SW 72ND AVE
Practice Address - Street 2:G
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4530
Practice Address - Country:US
Practice Address - Phone:239-896-7832
Practice Address - Fax:305-675-2668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC8369261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFILE 8651OtherAHCA HCC UNIT EXEMPT