| Miami Center For Cognitive Therapy, Llc | |
|
1701 W Flagler St Ste 310 Miami FL 33135-2099 | |
| (786) 467-7006 | |
| Not Available |
| Full Name | Miami Center For Cognitive Therapy, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1701 W Flagler St Ste 310, Miami, Florida |
| Authorized Official Name and Position | Carlos Israel Perez Benitez (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8674677006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Center For Cognitive Therapy, Llc 6101 Sw 63rd Ct South Miami FL 33143-2157 Ph: (786) 467-7006 | Miami Center For Cognitive Therapy, Llc 1701 W Flagler St Ste 310 Miami FL 33135-2099 Ph: (786) 467-7006 |
| NPI Number | 1497190789 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 01/21/2022 |
| Certification Date | 01/21/2022 |
| Medicare PECOS PAC ID | 9133361538 |
|---|---|
| Medicare Enrollment ID | O20130814000867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497190789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY8052 (Florida) | Primary |
| Provider Name | Carlos Israel Perez Benitez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114145349 PECOS PAC ID: 8325280712 Enrollment ID: I20130814000849 |
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