Provider Demographics
NPI:1467769497
Name:WE CARE MEDICAL GROUP
Entity Type:Organization
Organization Name:WE CARE MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-994-9449
Mailing Address - Street 1:4005 NW 114TH AVE
Mailing Address - Street 2:SUITE 26
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-4374
Mailing Address - Country:US
Mailing Address - Phone:305-994-9449
Mailing Address - Fax:305-994-9477
Practice Address - Street 1:4005 NW 114TH AVE
Practice Address - Street 2:SUITE 26
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-4374
Practice Address - Country:US
Practice Address - Phone:305-994-9449
Practice Address - Fax:305-994-9477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME17907208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty