| Josefina Perez-castro, Pa | |
|
5001 Sw 74th Ct Suite 105 Miami FL 33155-4483 | |
| (305) 663-0013 | |
| (305) 663-8138 |
| Full Name | Josefina Perez-castro, Pa |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5001 Sw 74th Ct, Miami, Florida |
| Authorized Official Name and Position | Josefina Perez-castro (PRESIDENT) |
| Authorized Official Contact | 3056630013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Josefina Perez-castro, Pa 5001 Sw 74th Ct Suite 105 Miami FL 33155-4483 Ph: (305) 663-0013 | Josefina Perez-castro, Pa 5001 Sw 74th Ct Suite 105 Miami FL 33155-4483 Ph: (305) 663-0013 |
| NPI Number | 1114243250 |
|---|---|
| Provider Enumeration Date | 04/14/2010 |
| Last Update Date | 04/14/2010 |
| Medicare PECOS PAC ID | 7517155815 |
|---|---|
| Medicare Enrollment ID | O20110103000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114243250 | NPI | - | NPPES |
| Z1827 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW001315 (Florida) | Primary |
| Provider Name | Josefina Perez-castro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184739567 PECOS PAC ID: 4688862865 Enrollment ID: I20110204000257 |
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