Provider Demographics
NPI:1679882963
Name:CARE SOLUTIONS MEDICAL GROUP
Entity Type:Organization
Organization Name:CARE SOLUTIONS MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LLISMEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CABRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-455-3500
Mailing Address - Street 1:4155 SW 130TH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3417
Mailing Address - Country:US
Mailing Address - Phone:305-455-3500
Mailing Address - Fax:305-553-1039
Practice Address - Street 1:4155 SW 130TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3417
Practice Address - Country:US
Practice Address - Phone:305-455-3500
Practice Address - Fax:305-553-1039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC8794305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service