Provider Demographics
NPI:1467934513
Name:DOCTORS HEALTHCARE PLANS, INC
Entity Type:Organization
Organization Name:DOCTORS HEALTHCARE PLANS, INC
Other - Org Name:DOCTORS HEALTHCARE PLANS, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-578-0945
Mailing Address - Street 1:2020 PONCE DE LEON BLVD STE 901
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4479
Mailing Address - Country:US
Mailing Address - Phone:786-578-0954
Mailing Address - Fax:
Practice Address - Street 1:2020 PONCE DE LEON BLVD STE 901
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134
Practice Address - Country:US
Practice Address - Phone:786-578-0954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-05
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL16271Medicaid
FL16271Medicaid