| Canes Medical Center Inc | |
|
12001 Sw 128th Ct Ste 102 Miami FL 33186-4665 | |
| (786) 971-7920 | |
| Not Available |
| Full Name | Canes Medical Center Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 12001 Sw 128th Ct Ste 102, Miami, Florida |
| Authorized Official Name and Position | Annette Perez (OWNER) |
| Authorized Official Contact | 7869717920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canes Medical Center Inc 12001 Sw 128th Ct Ste 102 Miami FL 33186-4665 Ph: () - | Canes Medical Center Inc 12001 Sw 128th Ct Ste 102 Miami FL 33186-4665 Ph: (786) 971-7920 |
| NPI Number | 1629789391 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Medicare PECOS PAC ID | 4981047321 |
|---|---|
| Medicare Enrollment ID | O20240213001604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629789391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ana M Villaverde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447411558 PECOS PAC ID: 0547321515 Enrollment ID: I20081209000515 |
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