| Mas Vida Medical Center Corp | |
|
15190 Sw 136th St Ste 11 Miami FL 33196-2618 | |
| (786) 587-3606 | |
| Not Available |
| Full Name | Mas Vida Medical Center Corp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 15190 Sw 136th St Ste 11, Miami, Florida |
| Authorized Official Name and Position | Leticia Menes (OWNER) |
| Authorized Official Contact | 7865873606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mas Vida Medical Center Corp 15190 Sw 136th St Ste 11 Miami FL 33196-2618 Ph: () - | Mas Vida Medical Center Corp 15190 Sw 136th St Ste 11 Miami FL 33196-2618 Ph: (786) 587-3606 |
| NPI Number | 1992561492 |
|---|---|
| Provider Enumeration Date | 02/22/2024 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 5597107003 |
|---|---|
| Medicare Enrollment ID | O20240530000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992561492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Eliana Szwarc |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356028245 PECOS PAC ID: 0941659379 Enrollment ID: I20231211003637 |
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