Provider Demographics
NPI:1306192406
Name:CAREWAY GROUP SERVICE INC
Entity Type:Organization
Organization Name:CAREWAY GROUP SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMORRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-334-2585
Mailing Address - Street 1:6800 SW 40TH ST
Mailing Address - Street 2:#349
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3708
Mailing Address - Country:US
Mailing Address - Phone:786-334-2585
Mailing Address - Fax:
Practice Address - Street 1:6800 SW 40TH ST
Practice Address - Street 2:#349
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3708
Practice Address - Country:US
Practice Address - Phone:786-334-2585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty