| Miami Lakes Health Center Inc | |
|
8100 Nw 155th St Ste 100 Miami Lakes FL 33016-5865 | |
| (786) 615-2545 | |
| (786) 542-5084 |
| Full Name | Miami Lakes Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8100 Nw 155th St Ste 100, Miami Lakes, Florida |
| Authorized Official Name and Position | Victor Manuel Alberto Munoz (OWNER) |
| Authorized Official Contact | 3055907674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Lakes Health Center Inc 8100 Nw 155th St Ste 100 Miami Lakes FL 33016-5865 Ph: (786) 615-2545 | Miami Lakes Health Center Inc 8100 Nw 155th St Ste 100 Miami Lakes FL 33016-5865 Ph: (786) 615-2545 |
| NPI Number | 1659953206 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Medicare PECOS PAC ID | 1557700739 |
|---|---|
| Medicare Enrollment ID | O20240421000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659953206 | NPI | - | NPPES |
| Provider Name | Jose A Guerra-valencia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154673770 PECOS PAC ID: 6507187051 Enrollment ID: I20150609001381 |
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