Provider Demographics
NPI:1073529780
Name:CARE PLUS CENTER, LLC
Entity Type:Organization
Organization Name:CARE PLUS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GILBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-320-1859
Mailing Address - Street 1:8260 W FLAGLER ST
Mailing Address - Street 2:SUITE: 2B
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2069
Mailing Address - Country:US
Mailing Address - Phone:305-640-5557
Mailing Address - Fax:305-640-5146
Practice Address - Street 1:8260 WEST FLAGLER ST.
Practice Address - Street 2:SUITE: 2B
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144
Practice Address - Country:US
Practice Address - Phone:305-640-5557
Practice Address - Fax:305-640-5146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC4062261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002QAOtherBCBS
FLHCC6090 / 11791OtherAHCA