Provider Demographics
NPI:1447513882
Name:BEYOND CARE, CORP.
Entity type:Organization
Organization Name:BEYOND CARE, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:YAQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-266-1115
Mailing Address - Street 1:8500 SW 8TH ST STE 244
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4000
Mailing Address - Country:US
Mailing Address - Phone:305-266-1115
Mailing Address - Fax:305-266-1105
Practice Address - Street 1:8500 SW 8TH ST STE 244
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4000
Practice Address - Country:US
Practice Address - Phone:305-266-1115
Practice Address - Fax:305-266-1105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM 29176302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMM 29176OtherSTATE OF FLORIDA DEPARTMENT OF HEALTH