Provider Demographics
NPI:1235271198
Name:CLINICARE MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:CLINICARE MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:PILAR
Authorized Official - Middle Name:F
Authorized Official - Last Name:TRUEBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-861-6044
Mailing Address - Street 1:7145 ABBOTT AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-3043
Mailing Address - Country:US
Mailing Address - Phone:305-861-6044
Mailing Address - Fax:305-865-8909
Practice Address - Street 1:7145 ABBOTT AVE
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-3043
Practice Address - Country:US
Practice Address - Phone:305-861-6044
Practice Address - Fax:305-865-8909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 14445207R00000X
261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD59468Medicare UPIN
FL91023AMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER