Provider Demographics
NPI:1750856316
Name:CLINICARE CORPORATION
Entity Type:Organization
Organization Name:CLINICARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILIO
Authorized Official - Middle Name:J
Authorized Official - Last Name:CORDERO
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:787-400-3468
Mailing Address - Street 1:68 SAN FERNANDO
Mailing Address - Street 2:VILLA SOL
Mailing Address - City:MAYAGEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680
Mailing Address - Country:US
Mailing Address - Phone:787-214-2272
Mailing Address - Fax:
Practice Address - Street 1:68 SAN FERNANDO ST.
Practice Address - Street 2:URB. VILLA SOL
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-0068
Practice Address - Country:US
Practice Address - Phone:787-214-2722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty