| Miami Dade Community Services Inc | |
|
1901 Sw 1st St Miami FL 33135-1601 | |
| (305) 631-8931 | |
| (305) 631-0546 |
| Full Name | Miami Dade Community Services Inc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1901 Sw 1st St, Miami, Florida |
| Authorized Official Name and Position | Jose M Roig (PRESIDENT) |
| Authorized Official Contact | 3056318931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Dade Community Services Inc 1901 Sw 1st St Fl 2 Miami FL 33135-1601 Ph: (305) 631-8931 | Miami Dade Community Services Inc 1901 Sw 1st St Miami FL 33135-1601 Ph: (305) 631-8931 |
| NPI Number | 1740540608 |
|---|---|
| Provider Enumeration Date | 05/24/2012 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Medicare PECOS PAC ID | 2365668282 |
|---|---|
| Medicare Enrollment ID | O20140729001530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740540608 | NPI | - | NPPES |
| 111309 | Other | FL | DEPARTMENT OF CHILDREN AND FAMILIES |
| Provider Name | Ramses Vega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760429716 PECOS PAC ID: 8729986278 Enrollment ID: I20031222000726 |
| Provider Name | Emilio Mantero-atienza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912014804 PECOS PAC ID: 0345148912 Enrollment ID: I20050425000936 |
| Provider Name | Yudit Padron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235609561 PECOS PAC ID: 8628311594 Enrollment ID: I20190515003287 |
| Provider Name | Azucena Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841662392 PECOS PAC ID: 1254480064 Enrollment ID: I20191203000566 |
| Provider Name | Robinson Remonville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720698947 PECOS PAC ID: 5991173965 Enrollment ID: I20221122002856 |
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