Provider Demographics
NPI:1689864134
Name:LA CARIDAD MEDICAL CENTER INC
Entity Type:Organization
Organization Name:LA CARIDAD MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESITA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CAPILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-581-8723
Mailing Address - Street 1:375 E 49TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1870
Mailing Address - Country:US
Mailing Address - Phone:305-581-8723
Mailing Address - Fax:305-698-5487
Practice Address - Street 1:375 E 49TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1870
Practice Address - Country:US
Practice Address - Phone:305-581-8723
Practice Address - Fax:305-698-5487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty