| Juntos Behavioral & Mental Benefits Corp. | |
|
12001 Sw 128th Ct Ste 104 Miami FL 33186-4665 | |
| (786) 868-0505 | |
| (786) 513-4601 |
| Full Name | Juntos Behavioral & Mental Benefits Corp. |
|---|---|
| Speciality | Clinic/Center |
| Location | 12001 Sw 128th Ct Ste 104, Miami, Florida |
| Authorized Official Name and Position | Yanet Mirabal (PRESIDENT) |
| Authorized Official Contact | 7868680505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juntos Behavioral & Mental Benefits Corp. 12001 Sw 128th Ct Ste 104 Miami FL 33186-4665 Ph: (786) 868-0505 | Juntos Behavioral & Mental Benefits Corp. 12001 Sw 128th Ct Ste 104 Miami FL 33186-4665 Ph: (786) 868-0505 |
| NPI Number | 1174027247 |
|---|---|
| Provider Enumeration Date | 03/22/2018 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Medicare PECOS PAC ID | 6507256989 |
|---|---|
| Medicare Enrollment ID | O20211129000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174027247 | NPI | - | NPPES |
| Provider Name | Octavio Miguel Alfonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881100121 PECOS PAC ID: 7517299399 Enrollment ID: I20191028002567 |
| Provider Name | Jose Andro Cancio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245864164 PECOS PAC ID: 2466877717 Enrollment ID: I20200803002500 |
| Provider Name | Militza I Mizray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902016827 PECOS PAC ID: 7719908045 Enrollment ID: I20210809002903 |
| Provider Name | Ivan Oliva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295086106 PECOS PAC ID: 6204294200 Enrollment ID: I20230623001149 |
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