| Healthy Minds Medical Center Inc | |
|
2500 Nw 79th Ave Ste 227 Miami FL 33122-1085 | |
| (305) 456-9396 | |
| Not Available |
| Full Name | Healthy Minds Medical Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2500 Nw 79th Ave Ste 227, Miami, Florida |
| Authorized Official Name and Position | Alina Alfonso (PRESIDENT) |
| Authorized Official Contact | 3057333225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Minds Medical Center Inc 2500 Nw 79th Ave Ste 227 Miami FL 33122-1085 Ph: (305) 469-5668 | Healthy Minds Medical Center Inc 2500 Nw 79th Ave Ste 227 Miami FL 33122-1085 Ph: (305) 456-9396 |
| NPI Number | 1609406917 |
|---|---|
| Provider Enumeration Date | 01/26/2020 |
| Last Update Date | 09/01/2023 |
| Certification Date | 09/01/2023 |
| Medicare PECOS PAC ID | 3375954571 |
|---|---|
| Medicare Enrollment ID | O20230511003394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609406917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Carlos Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528225638 PECOS PAC ID: 3577757657 Enrollment ID: I20101102001382 |
| Provider Name | Brian Villa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861843906 PECOS PAC ID: 2769812833 Enrollment ID: I20200414002044 |
| Provider Name | Hector Barroso Reina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083375786 PECOS PAC ID: 7618354176 Enrollment ID: I20220523001172 |
| Provider Name | Yeisell Duconge Munarriz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346744166 PECOS PAC ID: 6002296092 Enrollment ID: I20220708000367 |
| Provider Name | Lianny Ojeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417666009 PECOS PAC ID: 9436527017 Enrollment ID: I20221202000461 |
| Provider Name | Alberto Oyaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558068403 PECOS PAC ID: 6103270038 Enrollment ID: I20230927000763 |
| Provider Name | Elty Aprn Chirolde Pimienta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205411071 PECOS PAC ID: 7719335827 Enrollment ID: I20231130001408 |
| Provider Name | Alberto Leyva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144000936 PECOS PAC ID: 3375993868 Enrollment ID: I20231226000394 |
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