Provider Demographics
NPI:1619001898
Name:CARINO ADULT DAY CARE II, INC.
Entity type:Organization
Organization Name:CARINO ADULT DAY CARE II, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-554-7844
Mailing Address - Street 1:5400 MAVERICK RD
Mailing Address - Street 2:P.O. BOX 127
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-6303
Mailing Address - Country:US
Mailing Address - Phone:956-554-7844
Mailing Address - Fax:956-554-9934
Practice Address - Street 1:5400 MAVERICK RD
Practice Address - Street 2:4975 CAMINO DEL SOL
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-6303
Practice Address - Country:US
Practice Address - Phone:956-554-7844
Practice Address - Fax:956-554-9934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119987305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization