Basic Information
| Provider Information | |||||||||
| NPI: | 1881097772 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DOCTORS CARE AND PREVENTION PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9624 SW 24TH ST | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331658015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7867033368 | ||||||||
| FaxNumber: | 7867033369 | ||||||||
| Practice Location | |||||||||
| Address1: | 9624 SW 24TH ST | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331658015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7867033368 | ||||||||
| FaxNumber: | 7867033369 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/06/2014 | ||||||||
| LastUpdateDate: | 02/08/2015 | ||||||||
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| AuthorizedOfficialLastName: | CRESPO | ||||||||
| AuthorizedOfficialFirstName: | ROLANDO | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7876023058 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | ACN506 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.