Provider Demographics
NPI:1861612087
Name:PROCARE HEALTH SOLUTION INC.
Entity type:Organization
Organization Name:PROCARE HEALTH SOLUTION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:JULIETTE
Authorized Official - Middle Name:ANAIS
Authorized Official - Last Name:TAMAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-567-9194
Mailing Address - Street 1:10 NW 42ND AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5473
Mailing Address - Country:US
Mailing Address - Phone:305-567-9194
Mailing Address - Fax:305-567-9914
Practice Address - Street 1:10 NW 42ND AVE STE 230
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5473
Practice Address - Country:US
Practice Address - Phone:305-567-9194
Practice Address - Fax:305-567-9914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service