Coastal Health Group, Inc | |
7990 Sw 117th Ave Ste 132 Miami FL 33183-3845 | |
(786) 294-0123 | |
(786) 294-0435 |
Full Name | Coastal Health Group, Inc |
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Speciality | Psychiatry & Neurology |
Location | 7990 Sw 117th Ave Ste 132, Miami, Florida |
Authorized Official Name and Position | Sandra R Pelaez-munsey (OWNER) |
Authorized Official Contact | 7862102600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Coastal Health Group, Inc 7990 Sw 117th Ave Ste 132 Miami FL 33183-3845 Ph: (786) 294-0123 | Coastal Health Group, Inc 7990 Sw 117th Ave Ste 132 Miami FL 33183-3845 Ph: (786) 294-0123 |
NPI Number | 1639714405 |
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Provider Enumeration Date | 11/15/2019 |
Last Update Date | 04/30/2024 |
Certification Date | 04/30/2024 |
Medicare PECOS PAC ID | 3476975491 |
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Medicare Enrollment ID | O20200622000675 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639714405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Emelina Acacia Arocha |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1356343016 PECOS PAC ID: 6608850516 Enrollment ID: I20040617000587 |
Provider Name | Sandra R Pelaez-mursey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942747126 PECOS PAC ID: 9436245883 Enrollment ID: I20170807001100 |
Provider Name | Tahnee M Diaz Rodriguez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578189320 PECOS PAC ID: 2264845122 Enrollment ID: I20210617001646 |
Provider Name | Belkis M Plasencia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528547536 PECOS PAC ID: 3274934989 Enrollment ID: I20210701000345 |
Provider Name | Silvia A Cuba |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962126714 PECOS PAC ID: 3678941382 Enrollment ID: I20221129003547 |
Provider Name | Robert R Morales Gainza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184212276 PECOS PAC ID: 7315312675 Enrollment ID: I20230420000082 |
Provider Name | Jessica Stephanie Sio |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891404984 PECOS PAC ID: 4789046483 Enrollment ID: I20230811002552 |
Provider Name | Reyna Aday |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1396303442 PECOS PAC ID: 8527417203 Enrollment ID: I20231206001950 |
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