| Community Connection Florida Llc | |
|
13155 Sw 134th St Ste 221 Miami FL 33186-4489 | |
| (786) 652-9880 | |
| (786) 652-9879 |
| Full Name | Community Connection Florida Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 13155 Sw 134th St Ste 221, Miami, Florida |
| Authorized Official Name and Position | Diana Finales Suarez (OWNER) |
| Authorized Official Contact | 3056138827 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Connection Florida Llc 13155 Sw 134th St Ste 221 Miami FL 33186-4489 Ph: (786) 652-9880 | Community Connection Florida Llc 13155 Sw 134th St Ste 221 Miami FL 33186-4489 Ph: (786) 652-9880 |
| NPI Number | 1245885219 |
|---|---|
| Provider Enumeration Date | 08/07/2019 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Medicare PECOS PAC ID | 8224437314 |
|---|---|
| Medicare Enrollment ID | O20210521001108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245885219 | NPI | - | NPPES |
| Provider Name | Pierre E Pean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710013990 PECOS PAC ID: 9931367596 Enrollment ID: I20120228000693 |
| Provider Name | Josue Lopez |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1215469499 PECOS PAC ID: 2163811944 Enrollment ID: I20211117000302 |
| Provider Name | Maydibis Blanco Alonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083208599 PECOS PAC ID: 9335525351 Enrollment ID: I20220928003223 |
| Provider Name | Taymi Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386238897 PECOS PAC ID: 0840665022 Enrollment ID: I20230403000266 |
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