Provider Demographics
NPI:1902129406
Name:COMMITTED WOMEN'S CARE P.A.
Entity Type:Organization
Organization Name:COMMITTED WOMEN'S CARE P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:F
Authorized Official - Last Name:AGUIRRE ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-733-3392
Mailing Address - Street 1:1200 S FEDERAL HWY
Mailing Address - Street 2:SUITE 207
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-6048
Mailing Address - Country:US
Mailing Address - Phone:561-733-3392
Mailing Address - Fax:561-733-8395
Practice Address - Street 1:1200 S FEDERAL HWY
Practice Address - Street 2:SUITE 207
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-6048
Practice Address - Country:US
Practice Address - Phone:561-733-3392
Practice Address - Fax:561-733-8395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100546207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000388700Medicaid
AO515ZOtherMEDICARE