| Acsi Community Behavioral Center, Llc. | |
|
6303 Bird Rd Miami FL 33155-4825 | |
| (786) 620-6948 | |
| (954) 206-0906 |
| Full Name | Acsi Community Behavioral Center, Llc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6303 Bird Rd, Miami, Florida |
| Authorized Official Name and Position | Yanet Rodriguez Jimenez (CEO) |
| Authorized Official Contact | 7866206948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acsi Community Behavioral Center, Llc. 6303 Bird Rd Miami FL 33155-4825 Ph: (786) 620-6948 | Acsi Community Behavioral Center, Llc. 6303 Bird Rd Miami FL 33155-4825 Ph: (786) 620-6948 |
| NPI Number | 1366971657 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 06/10/2020 |
| Certification Date | 06/10/2020 |
| Medicare PECOS PAC ID | 7315368867 |
|---|---|
| Medicare Enrollment ID | O20200609001409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366971657 | NPI | - | NPPES |
| Provider Name | Eric Rafael Campillo-juig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205039005 PECOS PAC ID: 6901173566 Enrollment ID: I20171220002705 |
| Provider Name | Adriana Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588191308 PECOS PAC ID: 3577697259 Enrollment ID: I20180221002609 |
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