| Behavioral Collaborative Care Solutions, Llc | |
|
9000 Sw 137th Ave Ste 103 Miami FL 33186-1435 | |
| (305) 671-3503 | |
| (305) 671-3505 |
| Full Name | Behavioral Collaborative Care Solutions, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9000 Sw 137th Ave Ste 103, Miami, Florida |
| Authorized Official Name and Position | Rosdualdo German Ferrer (CFO / COO) |
| Authorized Official Contact | 7862999529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Collaborative Care Solutions, Llc 9000 Sw 137th Ave Ste 103 Miami FL 33186-1435 Ph: (305) 671-3503 | Behavioral Collaborative Care Solutions, Llc 9000 Sw 137th Ave Ste 103 Miami FL 33186-1435 Ph: (305) 671-3503 |
| NPI Number | 1487196010 |
|---|---|
| Provider Enumeration Date | 11/14/2016 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/04/2024 |
| Medicare PECOS PAC ID | 4688906696 |
|---|---|
| Medicare Enrollment ID | O20191024000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487196010 | NPI | - | NPPES |
| Provider Name | Cesare M Rzadkowolsky Raoli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306975305 PECOS PAC ID: 7214924802 Enrollment ID: I20040427000425 |
| Provider Name | Hernan Pabon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669683751 PECOS PAC ID: 2668556507 Enrollment ID: I20080301000013 |
| Provider Name | Adriana Maria Aristizabal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801340641 PECOS PAC ID: 8921368077 Enrollment ID: I20180517002249 |
| Provider Name | Octavio Miguel Alfonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881100121 PECOS PAC ID: 7517299399 Enrollment ID: I20191028002567 |
| Provider Name | Albert L Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285091132 PECOS PAC ID: 4385976190 Enrollment ID: I20191029000420 |
| Provider Name | Daniel Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891384905 PECOS PAC ID: 0244647964 Enrollment ID: I20210325000812 |
| Provider Name | Arianne Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366034787 PECOS PAC ID: 7012324551 Enrollment ID: I20210329001326 |
| Provider Name | Odalys J. Waugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790715514 PECOS PAC ID: 7012341340 Enrollment ID: I20240221000032 |
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