Provider Demographics
NPI:1598130783
Name:CARE GRP, INC
Entity Type:Organization
Organization Name:CARE GRP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-877-5500
Mailing Address - Street 1:3600 RED RD
Mailing Address - Street 2:SUITE 501
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-6013
Mailing Address - Country:US
Mailing Address - Phone:212-877-5500
Mailing Address - Fax:212-877-5504
Practice Address - Street 1:1560 BROADWAY
Practice Address - Street 2:SUITE 616
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-1537
Practice Address - Country:US
Practice Address - Phone:212-877-5500
Practice Address - Fax:212-877-5504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3521171100000X
FLME782662084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty