| Gomez Behavioral Solution, Llc | |
|
1150 Nw 72nd Ave Ste 540 Miami FL 33126-1947 | |
| (862) 287-8017 | |
| (786) 533-8000 |
| Full Name | Gomez Behavioral Solution, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1150 Nw 72nd Ave Ste 540, Miami, Florida |
| Authorized Official Name and Position | Mailyn Hernandez (OWNER/ OFFICER) |
| Authorized Official Contact | 7862287801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gomez Behavioral Solution, Llc 1150 Nw 72nd Ave Ste 540 Miami FL 33126-1947 Ph: () - | Gomez Behavioral Solution, Llc 1150 Nw 72nd Ave Ste 540 Miami FL 33126-1947 Ph: (862) 287-8017 |
| NPI Number | 1285400515 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Medicare PECOS PAC ID | 7315383023 |
|---|---|
| Medicare Enrollment ID | O20240315001295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285400515 | NPI | - | NPPES |
| Provider Name | Lazaro H Cordoves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821126079 PECOS PAC ID: 9133139009 Enrollment ID: I20060424000159 |
| Provider Name | Danka Martin Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881235687 PECOS PAC ID: 8628472941 Enrollment ID: I20210810000206 |
| Provider Name | Yannier Ferrer Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962909358 PECOS PAC ID: 1850772260 Enrollment ID: I20220718000115 |
| Provider Name | Alen Hidalgo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013368372 PECOS PAC ID: 4789050329 Enrollment ID: I20221021001957 |
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