Provider Demographics
NPI:1578143756
Name:CDR MAGUIRE INC
Entity Type:Organization
Organization Name:CDR MAGUIRE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PTD
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-312-7733
Mailing Address - Street 1:9130 S DADELAND BLVD STE 1504
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7850
Mailing Address - Country:US
Mailing Address - Phone:606-312-7733
Mailing Address - Fax:606-312-7733
Practice Address - Street 1:9130 S DADELAND BLVD STE 1504
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7850
Practice Address - Country:US
Practice Address - Phone:606-312-7733
Practice Address - Fax:606-312-7733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center