| Brainsintegrative Health Llc | |
|
3661 S Miami Ave Ste 504 Miami FL 33133-4200 | |
| (305) 988-0687 | |
| (844) 476-3183 |
| Full Name | Brainsintegrative Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3661 S Miami Ave Ste 504, Miami, Florida |
| Authorized Official Name and Position | Raul Gustavo Corredor (OWNER) |
| Authorized Official Contact | 3059880687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brainsintegrative Health Llc 5401 Collins Ave Apt 1414 Miami FL 33140-2536 Ph: (305) 988-0687 | Brainsintegrative Health Llc 3661 S Miami Ave Ste 504 Miami FL 33133-4200 Ph: (305) 988-0687 |
| NPI Number | 1770114696 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 01/29/2020 |
| Certification Date | 01/29/2020 |
| Medicare PECOS PAC ID | 9537598487 |
|---|---|
| Medicare Enrollment ID | O20200330000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770114696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Raul Gustavo Corredor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548580558 PECOS PAC ID: 0840596433 Enrollment ID: I20160308001483 |
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