Provider Demographics
NPI:1265673461
Name:PREFERRED CARE MANAGEMENT
Entity Type:Organization
Organization Name:PREFERRED CARE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-334-6149
Mailing Address - Street 1:19451 SHERIDAN STREET
Mailing Address - Street 2:SUITE 176
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33332
Mailing Address - Country:US
Mailing Address - Phone:800-334-6149
Mailing Address - Fax:954-337-2644
Practice Address - Street 1:19451 SHERIDAN STREET
Practice Address - Street 2:SUITE 176
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33332
Practice Address - Country:US
Practice Address - Phone:800-334-6149
Practice Address - Fax:954-337-2644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty