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2020 Ponce De Leon Blvd Ste 1201 Coral Gables FL 33134-4476 | |
| (305) 917-5414 | |
| (305) 220-1864 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 2020 Ponce De Leon Blvd Ste 1201, Coral Gables, Florida |
| Authorized Official Name and Position | Frank Roberto Perez Verdecia (PSYCHOLOGIST) |
| Authorized Official Contact | 3059175414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2020 Ponce De Leon Blvd Ste 1201 Coral Gables FL 33134-4476 Ph: (305) 917-5414 | 2020 Ponce De Leon Blvd Ste 1201 Coral Gables FL 33134-4476 Ph: (305) 917-5414 |
| NPI Number | 1548604028 |
|---|---|
| Provider Enumeration Date | 04/26/2013 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Medicare PECOS PAC ID | 4789808593 |
|---|---|
| Medicare Enrollment ID | O20140618001139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548604028 | NPI | - | NPPES |
| 017755200 | Medicaid | FL |
| Provider Name | Frank R Perez Verdecia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972556124 PECOS PAC ID: 1557506433 Enrollment ID: I20130325000339 |
| Provider Name | Luisa F Hernandez Medellin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770094039 PECOS PAC ID: 6800136599 Enrollment ID: I20190315000652 |
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