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1550 Madruga Ave Ste 406 Coral Gables FL 33146-3019 | |
| (305) 740-3340 | |
| (305) 740-8103 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1550 Madruga Ave Ste 406, Coral Gables, Florida |
| Authorized Official Name and Position | Brandon K Baker (PHYSICIAN) |
| Authorized Official Contact | 3057403340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1550 Madruga Ave Ste 406 Coral Gables FL 33146-3019 Ph: (305) 740-3340 | 1550 Madruga Ave Ste 406 Coral Gables FL 33146-3019 Ph: (305) 740-3340 |
| NPI Number | 1902040983 |
|---|---|
| Provider Enumeration Date | 04/22/2009 |
| Last Update Date | 01/23/2025 |
| Certification Date | 01/23/2025 |
| Medicare PECOS PAC ID | 0547314940 |
|---|---|
| Medicare Enrollment ID | O20090819000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902040983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME29473 (Florida) | Primary |
| Provider Name | Arthur J Bregman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538102397 PECOS PAC ID: 9335051473 Enrollment ID: I20090819000872 |
| Provider Name | Herbert Goldwire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669772406 PECOS PAC ID: 2961685680 Enrollment ID: I20110411000191 |
| Provider Name | Sandra Monica Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063925576 PECOS PAC ID: 8628327301 Enrollment ID: I20180814004026 |
| Provider Name | Robert Coleman Stewart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619407475 PECOS PAC ID: 0547661175 Enrollment ID: I20210702000259 |
| Provider Name | Martine N Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598317695 PECOS PAC ID: 7416285499 Enrollment ID: I20220829002533 |
| Provider Name | Alecia Marie Rankovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205129384 PECOS PAC ID: 9830364371 Enrollment ID: I20231102004010 |
| Provider Name | Tamiko Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366985277 PECOS PAC ID: 2264889526 Enrollment ID: I20231107004055 |
| Provider Name | Guillermo Ojeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104682350 PECOS PAC ID: 8022540277 Enrollment ID: I20241014002200 |
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