Provider Demographics
NPI:1689998072
Name:WE CARE MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:WE CARE MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:REVILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-599-2134
Mailing Address - Street 1:8181 NW 36TH ST STE 6C
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6628
Mailing Address - Country:US
Mailing Address - Phone:305-599-2134
Mailing Address - Fax:305-599-2135
Practice Address - Street 1:8181 NW 36TH ST STE 6C
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6628
Practice Address - Country:US
Practice Address - Phone:305-599-2134
Practice Address - Fax:305-599-2135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8059207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty