Organization Active NPI

Clearcare LLC

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1467939652
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CLEARCARE LLC
Practice address
3157 N University Dr # 213
Pembroke Pines, FL 33024-2258
Phone
(954) 507-4244
Fax
(844) 329-4812
NPI assigned
Jul 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rene Reyes, MD
Title
Ceo
Phone
(954) 253-3271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3157 N University Dr # 213
Pembroke Pines, FL 33024-2258

Mailing address

3157 N University Dr # 213
Pembroke Pines, FL 33024-2258
Phone (954) 507-4244

National Provider Directory

National Provider Directory

Locations

3157 N University Dr
#213
Pembroke Pines, FL 33024
Phone (954) 507-4244

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1467939652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 N UNIVERSITY DR # 213",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330242258",
            "telephone_number": "954-507-4244",
            "fax_number": "844-329-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 N UNIVERSITY DR # 213",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330242258",
            "telephone_number": "954-507-4244",
            "fax_number": "844-329-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-253-3271",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.