| Dgp Health & Wellness Corp | |
|
10440 Nw 37th Ter Doral FL 33178-4200 | |
| (305) 603-7139 | |
| (305) 716-9192 |
| Full Name | Dgp Health & Wellness Corp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10440 Nw 37th Ter, Doral, Florida |
| Authorized Official Name and Position | Leslie Delgado (PRESIDENT) |
| Authorized Official Contact | 3056037139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dgp Health & Wellness Corp 10440 Nw 37th Ter Doral FL 33178-4200 Ph: (305) 603-7139 | Dgp Health & Wellness Corp 10440 Nw 37th Ter Doral FL 33178-4200 Ph: (305) 603-7139 |
| NPI Number | 1235723081 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Medicare PECOS PAC ID | 6800295999 |
|---|---|
| Medicare Enrollment ID | O20210521000956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235723081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Frank A Baez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821335209 PECOS PAC ID: 4880972470 Enrollment ID: I20161102001972 |
| Provider Name | Juan Gabriel Quiros |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427587757 PECOS PAC ID: 4385914480 Enrollment ID: I20211012000928 |
| Provider Name | Kamla D Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861884892 PECOS PAC ID: 3072995034 Enrollment ID: I20220808001532 |
| Provider Name | Landy F Pollas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710602701 PECOS PAC ID: 8022487602 Enrollment ID: I20221205001368 |
| Provider Name | Kenia Montero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134722127 PECOS PAC ID: 4284081225 Enrollment ID: I20231113001537 |
| Provider Name | Reyna Aday |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396303442 PECOS PAC ID: 8527417203 Enrollment ID: I20231206001950 |
| Provider Name | Genesis D Abreu Ettienne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548731623 PECOS PAC ID: 0547604670 Enrollment ID: I20240216002625 |
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