La Sagrada Familia Mental Health | |
7270 Nw 12th St Ste 430 Miami FL 33126-1941 | |
(786) 615-2843 | |
(786) 980-1607 |
Full Name | La Sagrada Familia Mental Health |
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Speciality | Clinic/Center |
Location | 7270 Nw 12th St Ste 430, Miami, Florida |
Authorized Official Name and Position | Ailen Cruz Bergon (PRESIDENT) |
Authorized Official Contact | 7866152843 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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La Sagrada Familia Mental Health 7270 Nw 12th St Ste 430 Miami FL 33126-1941 Ph: (786) 615-2843 | La Sagrada Familia Mental Health 7270 Nw 12th St Ste 430 Miami FL 33126-1941 Ph: (786) 615-2843 |
NPI Number | 1508468869 |
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Provider Enumeration Date | 11/12/2020 |
Last Update Date | 10/18/2022 |
Certification Date | 10/18/2022 |
Medicare PECOS PAC ID | 8224428826 |
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Medicare Enrollment ID | O20230727001079 |
Identifier | Type | State | Issuer |
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1508468869 | NPI | - | NPPES |
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