Provider Demographics
NPI:1023818937
Name:CENTRO MEDICO CABARETE
Entity type:Organization
Organization Name:CENTRO MEDICO CABARETE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:SPITALE REALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:809-571-4696
Mailing Address - Street 1:1451 W CYPRESS CREEK RD STE 206
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-1953
Mailing Address - Country:US
Mailing Address - Phone:954-568-4060
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA SOSUA-CABARETE KM 1
Practice Address - Street 2:
Practice Address - City:SOSUA
Practice Address - State:PUERTO PLATA
Practice Address - Zip Code:57000
Practice Address - Country:DO
Practice Address - Phone:809-571-4696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC0050XAmbulatory Health Care FacilitiesClinic/CenterCritical Access Hospital
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No291U00000XLaboratoriesClinical Medical Laboratory