Provider Demographics
NPI:1639378391
Name:RILA'S MEDICAL CARE CORP.
Entity Type:Organization
Organization Name:RILA'S MEDICAL CARE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P7864020028RESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RIQUET
Authorized Official - Middle Name:
Authorized Official - Last Name:CABALLERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-823-4248
Mailing Address - Street 1:2097 W. 76 ST. SUITE A
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016
Mailing Address - Country:US
Mailing Address - Phone:305-823-4248
Mailing Address - Fax:
Practice Address - Street 1:2097 W. 76 ST. SUITE A
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016
Practice Address - Country:US
Practice Address - Phone:305-823-4248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK 7433Medicare PIN