| Lsl Community Services Inc | |
|
2097 W 76th St Hialeah FL 33016-1834 | |
| (305) 443-8229 | |
| (305) 443-8230 |
| Full Name | Lsl Community Services Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2097 W 76th St, Hialeah, Florida |
| Authorized Official Name and Position | Osmel Martinez (OWNER) |
| Authorized Official Contact | 3059427357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lsl Community Services Inc 2097 W 76th St Hialeah FL 33016-1834 Ph: () - | Lsl Community Services Inc 2097 W 76th St Hialeah FL 33016-1834 Ph: (305) 443-8229 |
| NPI Number | 1710497458 |
|---|---|
| Provider Enumeration Date | 10/09/2017 |
| Last Update Date | 11/01/2022 |
| Certification Date | 11/01/2022 |
| Medicare PECOS PAC ID | 5092189746 |
|---|---|
| Medicare Enrollment ID | O20230320001087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710497458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Rodolfo Hanabergh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003859315 PECOS PAC ID: 2365417607 Enrollment ID: I20040901000068 |
| Provider Name | Robertson Baptista |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295835502 PECOS PAC ID: 4688699671 Enrollment ID: I20051010000115 |
| Provider Name | Judith Mayans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982746350 PECOS PAC ID: 9436333531 Enrollment ID: I20110526000787 |
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