| Care Resource | |
|
3510 Biscayne Blvd Miami FL 33137-3840 | |
| (305) 576-1234 | |
| (305) 571-2020 |
| Full Name | Care Resource |
|---|---|
| Speciality | Clinic/Center |
| Location | 3510 Biscayne Blvd, Miami, Florida |
| Authorized Official Name and Position | Rick Siclari (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3055761234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Resource 3510 Biscayne Blvd Suite 300 Miami FL 33137-3840 Ph: (305) 576-1234 | Care Resource 3510 Biscayne Blvd Miami FL 33137-3840 Ph: (305) 576-1234 |
| NPI Number | 1053311373 |
|---|---|
| Provider Enumeration Date | 07/28/2005 |
| Last Update Date | 02/16/2022 |
| Certification Date | 02/16/2022 |
| Medicare PECOS PAC ID | 1658350749 |
|---|---|
| Medicare Enrollment ID | O20040714000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053311373 | NPI | - | NPPES |
| 26341 | Other | FL | BLUE CROSS BLUE SHIELD |
| 0034079-02 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Florida) | Primary |
| Provider Name | Ana M Puga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689639163 PECOS PAC ID: 4789578717 Enrollment ID: I20040211000374 |
| Provider Name | Shari J Klinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700998333 PECOS PAC ID: 3779534078 Enrollment ID: I20050203000625 |
| Provider Name | Albert Canas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700967619 PECOS PAC ID: 8729007208 Enrollment ID: I20051115000014 |
| Provider Name | Robert E Goubeaux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912956715 PECOS PAC ID: 6103981394 Enrollment ID: I20090223000623 |
| Provider Name | Marlene Pamandanan Jarin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609018134 PECOS PAC ID: 9638348915 Enrollment ID: I20110802000559 |
| Provider Name | Steven Santiago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316080682 PECOS PAC ID: 9537336607 Enrollment ID: I20120113000343 |
| Provider Name | Patrice Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033381389 PECOS PAC ID: 3678759966 Enrollment ID: I20120208000803 |
| Provider Name | Sandra Lee Franco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528348729 PECOS PAC ID: 3072764216 Enrollment ID: I20121115000314 |
| Provider Name | Sheryl Jeanette Zayas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598034167 PECOS PAC ID: 2264687227 Enrollment ID: I20130225000410 |
| Provider Name | Karell Curbelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740526714 PECOS PAC ID: 1557516994 Enrollment ID: I20130308000426 |
| Provider Name | Sanique Olkuch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750634309 PECOS PAC ID: 5597901553 Enrollment ID: I20130417000294 |
| Provider Name | Lilliana Vazquez Rivera |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205097953 PECOS PAC ID: 2961641196 Enrollment ID: I20130620000118 |
| Provider Name | Odiel Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881938819 PECOS PAC ID: 6709021967 Enrollment ID: I20140319000672 |
| Provider Name | Kathreen M Kraus |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740414069 PECOS PAC ID: 5991020380 Enrollment ID: I20150205001429 |
| Provider Name | Yusvell Mori Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861896391 PECOS PAC ID: 9931410743 Enrollment ID: I20150622000096 |
| Provider Name | Marie Rose S Jasmin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336544733 PECOS PAC ID: 6103146840 Enrollment ID: I20160323000466 |
| Provider Name | Victoria Baskin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801831409 PECOS PAC ID: 7416969084 Enrollment ID: I20161109001602 |
| Provider Name | Edith Caballero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073999348 PECOS PAC ID: 7911273545 Enrollment ID: I20171025002688 |
| Provider Name | Scott P Heichman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568974723 PECOS PAC ID: 2961763487 Enrollment ID: I20180226001653 |
| Provider Name | John Domingo Jarin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952812075 PECOS PAC ID: 1355604893 Enrollment ID: I20180413001161 |
| Provider Name | Hugo Armando Rocchia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881975852 PECOS PAC ID: 8921363045 Enrollment ID: I20180521000406 |
| Provider Name | Wendy Kays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760932404 PECOS PAC ID: 4880959725 Enrollment ID: I20180524002292 |
| Provider Name | Maria Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104211812 PECOS PAC ID: 2062721533 Enrollment ID: I20180730003343 |
| Provider Name | Sherly Constant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912398041 PECOS PAC ID: 0941558704 Enrollment ID: I20180810000133 |
| Provider Name | Marisela Sayaka Watanabe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952661191 PECOS PAC ID: 6709197346 Enrollment ID: I20181217000539 |
| Provider Name | Dario Archille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437624616 PECOS PAC ID: 7618213422 Enrollment ID: I20190116001225 |
| Provider Name | Vanessa Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922498716 PECOS PAC ID: 5890060461 Enrollment ID: I20190131001659 |
| Provider Name | Gloria Manuela Cabral |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104287127 PECOS PAC ID: 1052644408 Enrollment ID: I20190618000403 |
| Provider Name | Ben Jacob Hersh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346636065 PECOS PAC ID: 7719294321 Enrollment ID: I20191011000449 |
| Provider Name | Adnan A Ayoub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639646086 PECOS PAC ID: 4789929563 Enrollment ID: I20191218000377 |
| Provider Name | Ethel Maria Alvarado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619323656 PECOS PAC ID: 7911338561 Enrollment ID: I20200514000931 |
| Provider Name | Hussein T Anan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386057966 PECOS PAC ID: 2163718180 Enrollment ID: I20220125002967 |
| Provider Name | Shantara L. Bussey-martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417617028 PECOS PAC ID: 1355729930 Enrollment ID: I20220610000548 |
| Provider Name | Katherine Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528799491 PECOS PAC ID: 1759750862 Enrollment ID: I20221213000752 |
| Provider Name | Mimose Montgomery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922513860 PECOS PAC ID: 7911353057 Enrollment ID: I20231026001761 |
| Provider Name | Leonardo Castillo Iriarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972217073 PECOS PAC ID: 5991151037 Enrollment ID: I20231026001894 |
| Provider Name | Antonio Miguel Vazquez-pausa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700088812 PECOS PAC ID: 3779930656 Enrollment ID: I20231114003777 |
| Provider Name | Huston Ochoa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386423077 PECOS PAC ID: 2062860414 Enrollment ID: I20231127001297 |
| Provider Name | William Ebert Flaxman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831526433 PECOS PAC ID: 5597102749 Enrollment ID: I20240322002805 |
| Provider Name | Nicole Ann Moroz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235801010 PECOS PAC ID: 7618314717 Enrollment ID: I20240325004059 |
| Provider Name | Giselle Caridad Mallon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376707877 PECOS PAC ID: 0345688149 Enrollment ID: I20240328003638 |
| Provider Name | Thomas A Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932449493 PECOS PAC ID: 8022456433 Enrollment ID: I20240404001571 |
| Provider Name | Cari Baumgardner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942779129 PECOS PAC ID: 0941649776 Enrollment ID: I20240412002637 |
| Provider Name | Mucanie Joseph |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376999136 PECOS PAC ID: 6800235474 Enrollment ID: I20240415003989 |
| Provider Name | Yolianys C Villalobos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144663584 PECOS PAC ID: 8729428685 Enrollment ID: I20240425004026 |
| Provider Name | Lyndsey Elsass |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578178810 PECOS PAC ID: 9234578824 Enrollment ID: I20240614001888 |
Future Care Solution Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3911 Sw 67th Ave, Miami, FL 33155 Phone: 305-740-6960 Fax: 305-740-6959 | |
Kids Behaviors Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14554 Sw 143rd Pl, Miami, FL 33186 Phone: 786-523-2414 | |
Deborah M. Thevenin, Ph.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7685 Sw 104th St, Suite 100, Miami, FL 33156 Phone: 305-666-8000 Fax: 305-666-4311 | |
Miami-dade County Community Action And Human Services Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Nw 79th St, Miami, FL 33150 Phone: 305-751-4342 Fax: 305-759-2763 | |
Luzmila Victorero Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 Sw 77th Ave, Miami, FL 33144 Phone: 786-406-4933 | |
Adaga Therapy Group Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2926 Sw 145th Ave, Miami, FL 33175 Phone: 305-301-1856 | |
Advance Behavior Coalition Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14531 Sw 157th Ct, Miami, FL 33196 Phone: 305-733-9005 |