| Brightdays Community Mental Corp | |
|
330 Sw 27th Ave, Ste 302, 303, 304 Miami FL 33135-2957 | |
| (786) 275-5129 | |
| Not Available |
| Full Name | Brightdays Community Mental Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 330 Sw 27th Ave, Ste 302, 303, 304, Miami, Florida |
| Authorized Official Name and Position | Leyanes Sampedro Rivero (PRESIDENT) |
| Authorized Official Contact | 7862755129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightdays Community Mental Corp 330 Sw 27th Ave, Ste 302, 303, 304 Miami FL 33135-2957 Ph: () - | Brightdays Community Mental Corp 330 Sw 27th Ave, Ste 302, 303, 304 Miami FL 33135-2957 Ph: (786) 275-5129 |
| NPI Number | 1972140523 |
|---|---|
| Provider Enumeration Date | 12/03/2019 |
| Last Update Date | 09/06/2023 |
| Certification Date | 09/06/2023 |
| Medicare PECOS PAC ID | 1153717624 |
|---|---|
| Medicare Enrollment ID | O20220408002388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972140523 | NPI | - | NPPES |
| Provider Name | Ana M Villaverde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447411558 PECOS PAC ID: 0547321515 Enrollment ID: I20081209000515 |
| Provider Name | Niyasdeen Dieguez Santiesteban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669737953 PECOS PAC ID: 2163784778 Enrollment ID: I20180320000518 |
| Provider Name | Grettel Carballo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073185864 PECOS PAC ID: 3971941634 Enrollment ID: I20240401002873 |
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