Provider Demographics
NPI:1831372614
Name:MEDICAL CUBAN AMERICAN INC
Entity type:Organization
Organization Name:MEDICAL CUBAN AMERICAN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERCOLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-434-8119
Mailing Address - Street 1:2335 STANFORD CT
Mailing Address - Street 2:SUITE 502
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-4813
Mailing Address - Country:US
Mailing Address - Phone:239-434-8119
Mailing Address - Fax:239-434-8019
Practice Address - Street 1:2335 STANFORD CT
Practice Address - Street 2:SUITE 502
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-4813
Practice Address - Country:US
Practice Address - Phone:239-434-8119
Practice Address - Fax:239-434-8019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-14
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation