| Hope 2020 Inc | |
|
3421 Sw 107th Ave Miami FL 33165-3632 | |
| (305) 392-1774 | |
| Not Available |
| Full Name | Hope 2020 Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3421 Sw 107th Ave, Miami, Florida |
| Authorized Official Name and Position | Mary C Reiners (OWNER) |
| Authorized Official Contact | 3053921774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope 2020 Inc 3421 Sw 107th Ave Miami FL 33165-3632 Ph: (305) 392-1774 | Hope 2020 Inc 3421 Sw 107th Ave Miami FL 33165-3632 Ph: (305) 392-1774 |
| NPI Number | 1154947232 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 08/07/2024 |
| Certification Date | 08/07/2024 |
| Medicare PECOS PAC ID | 3274989520 |
|---|---|
| Medicare Enrollment ID | O20231024000972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154947232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lazaro H Cordoves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821126079 PECOS PAC ID: 9133139009 Enrollment ID: I20060424000159 |
| Provider Name | Jorge Betancourt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982707998 PECOS PAC ID: 7012177702 Enrollment ID: I20120404000985 |
| Provider Name | Danka Martin Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881235687 PECOS PAC ID: 8628472941 Enrollment ID: I20210810000206 |
| Provider Name | Judith N Gonzalez Dollar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679231054 PECOS PAC ID: 6507231230 Enrollment ID: I20230412000720 |
| Provider Name | Junior Manuel Peralta Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487328910 PECOS PAC ID: 1456710649 Enrollment ID: I20230706001897 |
| Provider Name | Alberto Oyaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558068403 PECOS PAC ID: 6103270038 Enrollment ID: I20230927000763 |
| Provider Name | Gladys M Miranda Quintana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992319198 PECOS PAC ID: 3173960937 Enrollment ID: I20240328001923 |
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