Provider Demographics
NPI:1790874584
Name:LUNG CARE CORP
Entity Type:Organization
Organization Name:LUNG CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAULINO
Authorized Official - Middle Name:F
Authorized Official - Last Name:MORERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-227-9872
Mailing Address - Street 1:12488 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-1400
Mailing Address - Country:US
Mailing Address - Phone:305-227-9872
Mailing Address - Fax:305-227-9892
Practice Address - Street 1:12488 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-1400
Practice Address - Country:US
Practice Address - Phone:305-227-9872
Practice Address - Fax:305-227-9892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL510051800Medicaid
FLW9951Medicare ID - Type UnspecifiedPORTABLE