Provider Demographics
NPI:1831548783
Name:DOCTORS COLLABORATIVE CARE SOLUTIONS
Entity type:Organization
Organization Name:DOCTORS COLLABORATIVE CARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/ OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSDUALDO
Authorized Official - Middle Name:GERMAN
Authorized Official - Last Name:FERRER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-299-9529
Mailing Address - Street 1:1550 MADRUGA AVE
Mailing Address - Street 2:SUITE 406
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3039
Mailing Address - Country:US
Mailing Address - Phone:305-740-3340
Mailing Address - Fax:
Practice Address - Street 1:9020 SW 137TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1426
Practice Address - Country:US
Practice Address - Phone:786-299-9529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty