Provider Demographics
NPI:1437394343
Name:LA CARIDAD CLINICA
Entity type:Organization
Organization Name:LA CARIDAD CLINICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-644-5999
Mailing Address - Street 1:285 NW 27TH AVE STE 16
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-5133
Mailing Address - Country:US
Mailing Address - Phone:305-644-5999
Mailing Address - Fax:305-644-5919
Practice Address - Street 1:285 NW 27TH AVE STE 16
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-5133
Practice Address - Country:US
Practice Address - Phone:305-644-5999
Practice Address - Fax:305-644-5919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty