| Mgm Case Management Services | |
|
8040 Nw 155th St # 320 Miami Lakes FL 33016-5880 | |
| (305) 827-2822 | |
| Not Available |
| Full Name | Mgm Case Management Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8040 Nw 155th St # 320, Miami Lakes, Florida |
| Authorized Official Name and Position | Saimary Rivero (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3058272822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mgm Case Management Services 14411 Commerce Way 320 Miami Lakes FL 33016-1596 Ph: (786) 597-3928 | Mgm Case Management Services 8040 Nw 155th St # 320 Miami Lakes FL 33016-5880 Ph: (305) 827-2822 |
| NPI Number | 1922391721 |
|---|---|
| Provider Enumeration Date | 05/26/2011 |
| Last Update Date | 10/16/2020 |
| Certification Date | 10/16/2020 |
| Medicare PECOS PAC ID | 8921428723 |
|---|---|
| Medicare Enrollment ID | O20201016000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922391721 | NPI | - | NPPES |
| 11622729 | Other | FL | BACB |
| Provider Name | Alfred G Jonas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568568822 PECOS PAC ID: 7810924545 Enrollment ID: I20070623000080 |
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