Provider Demographics
NPI:1730640483
Name:DELUXE CARE CORP
Entity Type:Organization
Organization Name:DELUXE CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUPE ACELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA OLITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-497-2239
Mailing Address - Street 1:9710 E INDIGO ST STE 202
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-5613
Mailing Address - Country:US
Mailing Address - Phone:305-850-4486
Mailing Address - Fax:
Practice Address - Street 1:9710 E INDIGO ST STE 202
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-5613
Practice Address - Country:US
Practice Address - Phone:305-850-4486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-26
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center