| Citrus Health Network Inc | |
|
4175 W 20th Ave Hialeah FL 33012-5874 | |
| (305) 424-3190 | |
| (305) 825-1645 |
| Full Name | Citrus Health Network Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4175 W 20th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Mario Jardon (PRESIDENT & CEO) |
| Authorized Official Contact | 3054243190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citrus Health Network Inc 4175 W 20th Ave Hialeah FL 33012-5874 Ph: (305) 424-3190 | Citrus Health Network Inc 4175 W 20th Ave Hialeah FL 33012-5874 Ph: (305) 424-3190 |
| NPI Number | 1821138819 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 09/21/2010 |
| Medicare PECOS PAC ID | 9931177334 |
|---|---|
| Medicare Enrollment ID | O20040923000283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821138819 | NPI | - | NPPES |
| 060304000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jaime Rodriguez Torres |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427141613 PECOS PAC ID: 2365428638 Enrollment ID: I20040628000245 |
| Provider Name | Omar D Suarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962450999 PECOS PAC ID: 8224001508 Enrollment ID: I20040816000424 |
| Provider Name | Reinaldo Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740232255 PECOS PAC ID: 4981671906 Enrollment ID: I20040910000372 |
| Provider Name | Juan F Ortiz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821150616 PECOS PAC ID: 2163485285 Enrollment ID: I20041110000140 |
| Provider Name | Daniel F Mandri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013966704 PECOS PAC ID: 5991755316 Enrollment ID: I20050124000937 |
| Provider Name | Lourdes Martinez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366717365 PECOS PAC ID: 4880631522 Enrollment ID: I20050413001039 |
| Provider Name | Jose H Pagliery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073571568 PECOS PAC ID: 0547298713 Enrollment ID: I20050728001189 |
| Provider Name | Thresia Gambon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508800244 PECOS PAC ID: 1850317025 Enrollment ID: I20051017000973 |
| Provider Name | Berta Guerra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528088341 PECOS PAC ID: 0244253946 Enrollment ID: I20060109000780 |
| Provider Name | Ciomara L Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144371071 PECOS PAC ID: 8729098173 Enrollment ID: I20060428000346 |
| Provider Name | Junior Pittack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023053931 PECOS PAC ID: 3678576865 Enrollment ID: I20060808000260 |
| Provider Name | Ixsa T Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568668671 PECOS PAC ID: 2062509946 Enrollment ID: I20071025000219 |
| Provider Name | Nelson Alvarez Reyes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912186354 PECOS PAC ID: 2466524400 Enrollment ID: I20080708000261 |
| Provider Name | Kenia Castro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124237524 PECOS PAC ID: 8224102207 Enrollment ID: I20080808000658 |
| Provider Name | Julio C Machado |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1275579047 PECOS PAC ID: 8325109390 Enrollment ID: I20081209000536 |
| Provider Name | Arlene L Pena-gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629276662 PECOS PAC ID: 8224195391 Enrollment ID: I20090318000141 |
| Provider Name | Stella M Estruch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497863252 PECOS PAC ID: 4183750318 Enrollment ID: I20100326000960 |
| Provider Name | Juan D Oms |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508067679 PECOS PAC ID: 2769674795 Enrollment ID: I20101206001231 |
| Provider Name | Marlene Jalice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467699256 PECOS PAC ID: 7113102856 Enrollment ID: I20110425000172 |
| Provider Name | Gilda Mayeta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952623977 PECOS PAC ID: 5597929257 Enrollment ID: I20120611000215 |
| Provider Name | Rafael Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700224896 PECOS PAC ID: 2466779079 Enrollment ID: I20150319000901 |
| Provider Name | Teresa O Acosta Avila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164825972 PECOS PAC ID: 5092036442 Enrollment ID: I20150610001532 |
| Provider Name | Angel Raimundo Montero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649467903 PECOS PAC ID: 8921316423 Enrollment ID: I20151002001060 |
| Provider Name | Carlos A Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093028938 PECOS PAC ID: 6305155458 Enrollment ID: I20151012002401 |
| Provider Name | Marcos Cintron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366593782 PECOS PAC ID: 5890005888 Enrollment ID: I20151103001747 |
| Provider Name | Orlando Santana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831249390 PECOS PAC ID: 2769783745 Enrollment ID: I20151216001404 |
| Provider Name | Dhizarah Matus De La Parra Pellot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790079036 PECOS PAC ID: 1355643966 Enrollment ID: I20160113000814 |
| Provider Name | Rosa Martinez-casuso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417009994 PECOS PAC ID: 6608171327 Enrollment ID: I20160217002493 |
| Provider Name | Leticia Lenar Delgado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417273194 PECOS PAC ID: 8123323771 Enrollment ID: I20160219001405 |
| Provider Name | Norma Campos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215007240 PECOS PAC ID: 1355349770 Enrollment ID: I20160301001080 |
| Provider Name | Fidel Lorenzo Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225435530 PECOS PAC ID: 4486950334 Enrollment ID: I20160302002834 |
| Provider Name | Xenia Aponte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881730810 PECOS PAC ID: 1759687122 Enrollment ID: I20160310001491 |
| Provider Name | Richard Asensio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235509431 PECOS PAC ID: 4284931460 Enrollment ID: I20160404000536 |
| Provider Name | Estefani Belloso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235581315 PECOS PAC ID: 5597053058 Enrollment ID: I20161017000644 |
| Provider Name | Michelle Barrios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952854077 PECOS PAC ID: 0648548727 Enrollment ID: I20170613002610 |
| Provider Name | Giselle Pelayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013234806 PECOS PAC ID: 4981792777 Enrollment ID: I20180125002685 |
| Provider Name | Sameilia Marie Hernaiz Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265859284 PECOS PAC ID: 5496019382 Enrollment ID: I20180430002545 |
| Provider Name | Joanna Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285035246 PECOS PAC ID: 8426397100 Enrollment ID: I20190222002677 |
| Provider Name | Arturo Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992156251 PECOS PAC ID: 8628319902 Enrollment ID: I20190415001953 |
| Provider Name | Johan Mary Jimenez Casals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285110262 PECOS PAC ID: 5991048670 Enrollment ID: I20190521001116 |
| Provider Name | Albert L Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285091132 PECOS PAC ID: 4385976190 Enrollment ID: I20191029000420 |
| Provider Name | Lauren Hricisak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750782918 PECOS PAC ID: 2365861259 Enrollment ID: I20200925001356 |
| Provider Name | Emanuel Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396231056 PECOS PAC ID: 4789092487 Enrollment ID: I20210419001453 |
| Provider Name | Jose Gabriel Valdes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235771288 PECOS PAC ID: 5597153635 Enrollment ID: I20211022001096 |
| Provider Name | Rosa K Tousent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730690603 PECOS PAC ID: 9537556600 Enrollment ID: I20220420002704 |
| Provider Name | Biviana Maria Arroyave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033719687 PECOS PAC ID: 8325424625 Enrollment ID: I20221010001061 |
| Provider Name | Alen Hidalgo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013368372 PECOS PAC ID: 4789050329 Enrollment ID: I20221021001957 |
| Provider Name | Emilio Bustamante |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811483076 PECOS PAC ID: 5496122335 Enrollment ID: I20221104001594 |
| Provider Name | Idania Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902449994 PECOS PAC ID: 4688042195 Enrollment ID: I20221114003226 |
| Provider Name | Mercy Blanco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669038733 PECOS PAC ID: 9436504727 Enrollment ID: I20231005002582 |
| Provider Name | Michael Roisman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699264184 PECOS PAC ID: 9931555836 Enrollment ID: I20231030001213 |
| Provider Name | Zacharys Morales Roman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790485829 PECOS PAC ID: 3779939590 Enrollment ID: I20231030002557 |
| Provider Name | Annet Cruz-diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003408873 PECOS PAC ID: 3072960129 Enrollment ID: I20231110000246 |
| Provider Name | Naylin Rizo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710234406 PECOS PAC ID: 0244687937 Enrollment ID: I20231117001544 |
| Provider Name | Jose H Caraballo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063804177 PECOS PAC ID: 6002264215 Enrollment ID: I20231129001077 |
| Provider Name | Laura Cabrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790083517 PECOS PAC ID: 0840648820 Enrollment ID: I20231201000355 |
| Provider Name | Francisco Rafael Audivert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427220490 PECOS PAC ID: 1254789126 Enrollment ID: I20231204000664 |
| Provider Name | Yunelis Vera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619489788 PECOS PAC ID: 1254789076 Enrollment ID: I20231204002823 |
| Provider Name | Mailyn Santana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720574411 PECOS PAC ID: 6103275839 Enrollment ID: I20231206004255 |
| Provider Name | Helena Martinez-torres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679627848 PECOS PAC ID: 0749639318 Enrollment ID: I20231207001936 |
| Provider Name | Maria V. Alonso |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265855142 PECOS PAC ID: 2668821281 Enrollment ID: I20231207003716 |
| Provider Name | Sussette Marie Toledo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114060035 PECOS PAC ID: 5890144364 Enrollment ID: I20231208001620 |
| Provider Name | Evelyn Gizelle Santi-hochfelder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700805769 PECOS PAC ID: 5294647004 Enrollment ID: I20231208001676 |
| Provider Name | Dayana Mendez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003352279 PECOS PAC ID: 4082063177 Enrollment ID: I20231214002670 |
| Provider Name | Madelyn Cabrera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831472430 PECOS PAC ID: 4385094077 Enrollment ID: I20231220004266 |
| Provider Name | Desiree Mantovani |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962187864 PECOS PAC ID: 3678923372 Enrollment ID: I20231221000260 |
| Provider Name | Sandra P Garrido |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518613314 PECOS PAC ID: 1052761772 Enrollment ID: I20231221001025 |
| Provider Name | Bianca Rosa Alonso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376168401 PECOS PAC ID: 0143670638 Enrollment ID: I20231226000544 |
| Provider Name | Alina Beatriz Bello |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154781581 PECOS PAC ID: 0042660466 Enrollment ID: I20231228000248 |
| Provider Name | Eylin Maria Febles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518010818 PECOS PAC ID: 9739539164 Enrollment ID: I20231228000666 |
| Provider Name | Janet Cristine Conde |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750423091 PECOS PAC ID: 1254781537 Enrollment ID: I20231228002810 |
| Provider Name | Dinora Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356824635 PECOS PAC ID: 7517317837 Enrollment ID: I20231229000098 |
| Provider Name | Jean Perez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437171451 PECOS PAC ID: 3476465287 Enrollment ID: I20231229002904 |
| Provider Name | Ingrid Marie Haza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629573605 PECOS PAC ID: 5294185278 Enrollment ID: I20240103002746 |
| Provider Name | Loreinys Perez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326624750 PECOS PAC ID: 5991155970 Enrollment ID: I20240103002879 |
| Provider Name | Gabriel Rodriguez Lacabe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467941781 PECOS PAC ID: 5395196380 Enrollment ID: I20240103003481 |
| Provider Name | Jose F Chavarria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437865524 PECOS PAC ID: 7911358981 Enrollment ID: I20240104001281 |
| Provider Name | Lissette Pena |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669786844 PECOS PAC ID: 5193176865 Enrollment ID: I20240106000267 |
| Provider Name | Lissandra Sotolongo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104525278 PECOS PAC ID: 7618328311 Enrollment ID: I20240108000031 |
| Provider Name | Michelle Vallejo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568085785 PECOS PAC ID: 7012368624 Enrollment ID: I20240108006211 |
| Provider Name | Isabella Pischner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568097137 PECOS PAC ID: 9436500857 Enrollment ID: I20240110003310 |
| Provider Name | Wendy E Segovia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609507706 PECOS PAC ID: 2163873308 Enrollment ID: I20240111003338 |
| Provider Name | Yohandra De La Prida |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053455071 PECOS PAC ID: 6901257005 Enrollment ID: I20240112001011 |
| Provider Name | Alejandra Belmont |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063299741 PECOS PAC ID: 7416309836 Enrollment ID: I20240122000346 |
| Provider Name | Dulce Maria Pupo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952622896 PECOS PAC ID: 2365886835 Enrollment ID: I20240223000855 |
| Provider Name | Julissa Artiles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548678451 PECOS PAC ID: 4284079070 Enrollment ID: I20240304000284 |
| Provider Name | Nelson A. Ramos Negron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265985857 PECOS PAC ID: 1850731613 Enrollment ID: I20240428000033 |
| Provider Name | Dolly Akel-greer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023162849 PECOS PAC ID: 7012358112 Enrollment ID: I20240507002246 |
| Provider Name | Antonio Santi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558384586 PECOS PAC ID: 6103738919 Enrollment ID: I20240515004513 |
| Provider Name | Eddy Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609042878 PECOS PAC ID: 8426499674 Enrollment ID: I20240518000315 |
| Provider Name | Gabriel Eduardo Lamas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427680966 PECOS PAC ID: 9638510894 Enrollment ID: I20240518000619 |
| Provider Name | Milagros Valle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184770034 PECOS PAC ID: 4082056288 Enrollment ID: I20240520001731 |
| Provider Name | Jans Pan Cabrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033858154 PECOS PAC ID: 3678915832 Enrollment ID: I20240521000189 |
| Provider Name | Ileana De La Caridad Alonso Perez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750157715 PECOS PAC ID: 5496197592 Enrollment ID: I20240521002174 |
| Provider Name | Susana Montalvo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386879773 PECOS PAC ID: 0244672236 Enrollment ID: I20240522001459 |
| Provider Name | Aymee Florencia Prieto Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023490463 PECOS PAC ID: 3678915691 Enrollment ID: I20240522002447 |
| Provider Name | Wardy Maria Conde |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578892659 PECOS PAC ID: 5496197055 Enrollment ID: I20240528002890 |
| Provider Name | Michael Scavo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275677007 PECOS PAC ID: 1951741040 Enrollment ID: I20240529003817 |
| Provider Name | Nardelis Cuevas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245449792 PECOS PAC ID: 6406298710 Enrollment ID: I20240531000542 |
| Provider Name | Prisa Zachariah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356861710 PECOS PAC ID: 3971849597 Enrollment ID: I20240531002933 |
| Provider Name | Karina Marie Nogues |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952096885 PECOS PAC ID: 8123560422 Enrollment ID: I20240601000350 |
| Provider Name | Kerline Gelin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528399839 PECOS PAC ID: 2466994769 Enrollment ID: I20240601000422 |
| Provider Name | Marien Garcia-loredo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982953824 PECOS PAC ID: 0446792154 Enrollment ID: I20240610003217 |
Medical Consulting Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1671 W 37th St Ste 3, Hialeah, FL 33012 Phone: 305-649-0492 Fax: 305-649-0496 | |
Little Heroes Therapy Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1840 W 49th St Ste 302, Hialeah, FL 33012 Phone: 786-391-2275 Fax: 786-409-5239 | |
Renacer Community Wellness Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5911 Nw 173rd Dr Unit 28, Hialeah, FL 33015 Phone: 786-564-5282 | |
Lazaro H Cordoves Md Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5951 Nw 173rd Dr, Suite 7, Hialeah, FL 33015 Phone: 305-557-1030 Fax: 305-557-9757 | |
One Point Behavioral Solutions, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4355 W 16th Ave Ste 201, Hialeah, FL 33012 Phone: 786-360-4783 | |
Psych Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 W 68th St, Hialeah, FL 33016 Phone: 305-823-5000 Fax: 305-364-2173 | |
Growthbridge Behavior Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1664 W 42nd Pl, Hialeah, FL 33012 Phone: 786-616-5510 |