Provider Demographics
NPI:1609513639
Name:CORE CARE LLC
Entity Type:Organization
Organization Name:CORE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIANO
Authorized Official - Middle Name:
Authorized Official - Last Name:DE SOCARRAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-333-4752
Mailing Address - Street 1:PO BOX 3376
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-3376
Mailing Address - Country:US
Mailing Address - Phone:866-300-4752
Mailing Address - Fax:787-710-7656
Practice Address - Street 1:PLAZOLETA LA CERAMICA
Practice Address - Street 2:AVENIDA SANCHEZ VILELLA ESQ. PR-190, SUITE 2-6
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:866-300-4752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty