| Gladyslene Villalonga Psychiatric Consultation Llc | |
|
27502 Sw 134th Ct Homestead FL 33032-8291 | |
| (786) 499-2154 | |
| Not Available |
| Full Name | Gladyslene Villalonga Psychiatric Consultation Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 27502 Sw 134th Ct, Homestead, Florida |
| Authorized Official Name and Position | Gladyslene Villalonga (PMHNP, OWNER) |
| Authorized Official Contact | 7864992154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gladyslene Villalonga Psychiatric Consultation Llc 27502 Sw 134th Ct Homestead FL 33032-8291 Ph: (786) 499-2154 | Gladyslene Villalonga Psychiatric Consultation Llc 27502 Sw 134th Ct Homestead FL 33032-8291 Ph: (786) 499-2154 |
| NPI Number | 1417542960 |
|---|---|
| Provider Enumeration Date | 03/06/2021 |
| Last Update Date | 05/28/2021 |
| Certification Date | 05/28/2021 |
| Medicare PECOS PAC ID | 3476952813 |
|---|---|
| Medicare Enrollment ID | O20210604000764 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417542960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Gladyslene Villalonga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235727488 PECOS PAC ID: 2163821596 Enrollment ID: I20210604000536 |
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