| Gallardo Health Medical Center Corp | |
|
900 W 49th St # B505 Hialeah FL 33012-3402 | |
| (786) 663-2822 | |
| Not Available |
| Full Name | Gallardo Health Medical Center Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 900 W 49th St # B505, Hialeah, Florida |
| Authorized Official Name and Position | Alexandra Codecido (OWNER) |
| Authorized Official Contact | 7866632822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gallardo Health Medical Center Corp 900 W 49th St # B505 Hialeah FL 33012-3402 Ph: (786) 663-2822 | Gallardo Health Medical Center Corp 900 W 49th St # B505 Hialeah FL 33012-3402 Ph: (786) 663-2822 |
| NPI Number | 1881429181 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Medicare PECOS PAC ID | 1658804042 |
|---|---|
| Medicare Enrollment ID | O20241023003501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881429181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Hernan Pabon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669683751 PECOS PAC ID: 2668556507 Enrollment ID: I20080301000013 |
| Provider Name | Grettel Carballo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073185864 PECOS PAC ID: 3971941634 Enrollment ID: I20240401002873 |
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