Alpha Therapy Center Inc | |
1840 W 49th St Ste 408 Hialeah FL 33012-2978 | |
(305) 603-9202 | |
(305) 603-9203 |
Full Name | Alpha Therapy Center Inc |
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Speciality | Community/Behavioral Health |
Location | 1840 W 49th St Ste 408, Hialeah, Florida |
Authorized Official Name and Position | Maylin Nurque Martinez (OWNER) |
Authorized Official Contact | 3056039202 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alpha Therapy Center Inc 1840 W 49th St Ste 408 Hialeah FL 33012-2978 Ph: (305) 603-9202 | Alpha Therapy Center Inc 1840 W 49th St Ste 408 Hialeah FL 33012-2978 Ph: (305) 603-9202 |
NPI Number | 1811778624 |
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Provider Enumeration Date | 10/09/2023 |
Last Update Date | 07/31/2024 |
Certification Date | 07/31/2024 |
Medicare PECOS PAC ID | 3577900661 |
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Medicare Enrollment ID | O20240325003419 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811778624 | NPI | - | NPPES |
120625300 | Medicaid | FL |
Provider Name | Nelson M. Perez |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1346400322 PECOS PAC ID: 0143611657 Enrollment ID: I20231120002362 |
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