| Estrella Health Medical Center Inc | |
|
10250 Sw 56th St Ste D201 Miami FL 33165-7098 | |
| (305) 778-1485 | |
| (786) 362-5735 |
| Full Name | Estrella Health Medical Center Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10250 Sw 56th St Ste D201, Miami, Florida |
| Authorized Official Name and Position | Marine V Viamonte (PRESIDENT) |
| Authorized Official Contact | 7862466295 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Estrella Health Medical Center Inc 10250 Sw 56th St Ste D201 Miami FL 33165-7098 Ph: (305) 778-1485 | Estrella Health Medical Center Inc 10250 Sw 56th St Ste D201 Miami FL 33165-7098 Ph: (305) 778-1485 |
| NPI Number | 1710576988 |
|---|---|
| Provider Enumeration Date | 01/13/2021 |
| Last Update Date | 09/14/2022 |
| Certification Date | 09/14/2022 |
| Medicare PECOS PAC ID | 0042691362 |
|---|---|
| Medicare Enrollment ID | O20220718003850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710576988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | William Mazzei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972586501 PECOS PAC ID: 2365345063 Enrollment ID: I20040129001121 |
| Provider Name | Jose A Guerra-valencia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154673770 PECOS PAC ID: 6507187051 Enrollment ID: I20150609001381 |
| Provider Name | Angela Maria Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235685181 PECOS PAC ID: 6002212255 Enrollment ID: I20210914000281 |
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