Provider Demographics
NPI:1316148414
Name:A RUBEN CARIDE MD PA
Entity type:Organization
Organization Name:A RUBEN CARIDE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AVELINO
Authorized Official - Middle Name:RUBEN
Authorized Official - Last Name:CARIDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-274-5574
Mailing Address - Street 1:8740 N KENDALL DR STE 101
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2209
Mailing Address - Country:US
Mailing Address - Phone:052-745-5743
Mailing Address - Fax:305-595-6312
Practice Address - Street 1:8740 N KENDALL DR STE 101
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2209
Practice Address - Country:US
Practice Address - Phone:305-274-5574
Practice Address - Fax:305-595-6312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME056983207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK3466Medicare ID - Type Unspecified