Organization
MEDCARE QUALITY MEDICAL CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL IGELISIAS (CEO)
(786) 641-5348
Entity
Organization
Contact information
Practice address
10980 SW 184TH ST, CUTLER BAY, FL 33157-6615
(305) 351-9346
(305) 351-9347
Mailing address
8750 NW 36TH STREET, SUITE 300, DORAL, FL 33178
(786) 641-5348
(305) 615-1121
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08775300
—
FL
Enumeration date
07/14/2014
Last updated
06/12/2017
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