Provider Demographics
NPI:1679952121
Name:CARIDAD SERVICE CENTER INC
Entity type:Organization
Organization Name:CARIDAD SERVICE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:C
Authorized Official - Last Name:ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:786-991-3409
Mailing Address - Street 1:1110 BRICKELL AVE
Mailing Address - Street 2:SUITE 430K-45
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3132
Mailing Address - Country:US
Mailing Address - Phone:786-991-3409
Mailing Address - Fax:786-408-5714
Practice Address - Street 1:1110 BRICKELL AVE
Practice Address - Street 2:SUITE 430K-45
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3132
Practice Address - Country:US
Practice Address - Phone:786-991-3409
Practice Address - Fax:786-408-5714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-28
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT22503261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy