Provider Demographics
NPI:1578446134
Name:MD CARE MEDICAL CENTER LLC
Entity type:Organization
Organization Name:MD CARE MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:TAMAYO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-434-4546
Mailing Address - Street 1:2150 W 68TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1802
Mailing Address - Country:US
Mailing Address - Phone:305-434-4546
Mailing Address - Fax:305-250-5688
Practice Address - Street 1:2150 W 68TH ST STE 200
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-1802
Practice Address - Country:US
Practice Address - Phone:305-434-4546
Practice Address - Fax:305-250-5688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service