| Managed Mental Health Llc | |
|
4445 W 16th Ave Ste 411 Hialeah FL 33012-7191 | |
| (305) 764-6417 | |
| Not Available |
| Full Name | Managed Mental Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4445 W 16th Ave Ste 411, Hialeah, Florida |
| Authorized Official Name and Position | Alberto Lamadrid (OWNER) |
| Authorized Official Contact | 3057646417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Managed Mental Health Llc 4445 W 16th Ave Ste 411 Hialeah FL 33012-7191 Ph: () - | Managed Mental Health Llc 4445 W 16th Ave Ste 411 Hialeah FL 33012-7191 Ph: (305) 764-6417 |
| NPI Number | 1033716055 |
|---|---|
| Provider Enumeration Date | 10/02/2020 |
| Last Update Date | 05/23/2022 |
| Certification Date | 05/23/2022 |
| Medicare PECOS PAC ID | 6800272394 |
|---|---|
| Medicare Enrollment ID | O20230209002372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033716055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Iliana Mercedes Tersy-tuzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679842678 PECOS PAC ID: 5395136949 Enrollment ID: I20211215002474 |
| Provider Name | Yumays Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508645391 PECOS PAC ID: 4385092857 Enrollment ID: I20231121002936 |
| Provider Name | Yulianis Fundora |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598352221 PECOS PAC ID: 8123470648 Enrollment ID: I20240122000075 |
| Provider Name | Rokhsana Rashid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922387794 PECOS PAC ID: 0143672428 Enrollment ID: I20240123001384 |
| Provider Name | Liza Melgar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629618475 PECOS PAC ID: 2062858095 Enrollment ID: I20240312002877 |
| Provider Name | Lory Toussaint |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184316556 PECOS PAC ID: 1254770720 Enrollment ID: I20240416004017 |
| Provider Name | Dianelys D Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336907591 PECOS PAC ID: 0941640114 Enrollment ID: I20240505000083 |
| Provider Name | Raul Medina Rojo |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1548986987 PECOS PAC ID: 2860833118 Enrollment ID: I20240517000063 |
| Provider Name | Hosanna M Farinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952081895 PECOS PAC ID: 1153869680 Enrollment ID: I20240815001873 |
| Provider Name | Karol Cofino Matos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720850449 PECOS PAC ID: 0446781512 Enrollment ID: I20240930002629 |
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