| Ajm Medical Center, Llc | |
|
306 Alcazar Ave Ste 205 Coral Gables FL 33134-4331 | |
| (305) 967-8725 | |
| (305) 967-8446 |
| Full Name | Ajm Medical Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 306 Alcazar Ave Ste 205, Coral Gables, Florida |
| Authorized Official Name and Position | Marieta Manresa (OWNER) |
| Authorized Official Contact | 7863543505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ajm Medical Center, Llc 306 Alcazar Ave Ste 205 Coral Gables FL 33134-4331 Ph: (305) 967-8725 | Ajm Medical Center, Llc 306 Alcazar Ave Ste 205 Coral Gables FL 33134-4331 Ph: (305) 967-8725 |
| NPI Number | 1194406371 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 01/20/2024 |
| Certification Date | 01/20/2024 |
| Medicare PECOS PAC ID | 0345694279 |
|---|---|
| Medicare Enrollment ID | O20230927000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194406371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Nelson M. Perez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346400322 PECOS PAC ID: 0143611657 Enrollment ID: I20231120002362 |
| Provider Name | Annie E Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225284086 PECOS PAC ID: 5496297889 Enrollment ID: I20240613001113 |
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