| Alma Community Center Inc | |
|
5590 W 20th Ave Ste 404 Hialeah FL 33016-7062 | |
| (786) 344-1199 | |
| Not Available |
| Full Name | Alma Community Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5590 W 20th Ave Ste 404, Hialeah, Florida |
| Authorized Official Name and Position | Maydelis Avila (PRESIDENT) |
| Authorized Official Contact | 7863441199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alma Community Center Inc 5590 W 20th Ave Ste 404 Hialeah FL 33016-7062 Ph: (786) 344-1199 | Alma Community Center Inc 5590 W 20th Ave Ste 404 Hialeah FL 33016-7062 Ph: (786) 344-1199 |
| NPI Number | 1770177289 |
|---|---|
| Provider Enumeration Date | 02/24/2021 |
| Last Update Date | 01/09/2023 |
| Certification Date | 01/09/2023 |
| Medicare PECOS PAC ID | 0042600751 |
|---|---|
| Medicare Enrollment ID | O20211210001303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770177289 | NPI | - | NPPES |
| Provider Name | Kalvin Kapoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861829392 PECOS PAC ID: 2163788902 Enrollment ID: I20180130001502 |
| Provider Name | David R Tano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215294533 PECOS PAC ID: 3870979271 Enrollment ID: I20221010000609 |
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