Provider Demographics
NPI:1275863847
Name:COMPLETE MEDICAL CARE ASSOCIATES, INC
Entity Type:Organization
Organization Name:COMPLETE MEDICAL CARE ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:VILLALBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-554-0079
Mailing Address - Street 1:12955 SW 42ND ST
Mailing Address - Street 2:SUITE 10
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-2920
Mailing Address - Country:US
Mailing Address - Phone:305-554-0079
Mailing Address - Fax:305-554-0793
Practice Address - Street 1:12955 SW 42ND ST
Practice Address - Street 2:SUITE 10
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-2920
Practice Address - Country:US
Practice Address - Phone:305-554-0079
Practice Address - Fax:305-554-0793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization