| Miami Personal Management | |
|
4215 Sw 72nd Ave Miami FL 33155-4510 | |
| (786) 703-9735 | |
| (305) 377-3854 |
| Full Name | Miami Personal Management |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4215 Sw 72nd Ave, Miami, Florida |
| Authorized Official Name and Position | Xuan Florez (ADMINISTRATOR) |
| Authorized Official Contact | 3053773297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Personal Management 4215 Sw 72nd Ave Miami FL 33155-4510 Ph: (305) 377-3297 | Miami Personal Management 4215 Sw 72nd Ave Miami FL 33155-4510 Ph: (786) 703-9735 |
| NPI Number | 1447599477 |
|---|---|
| Provider Enumeration Date | 02/12/2013 |
| Last Update Date | 04/14/2020 |
| Certification Date | 04/14/2020 |
| Medicare PECOS PAC ID | 2567688625 |
|---|---|
| Medicare Enrollment ID | O20140725000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447599477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (Florida) | Secondary |
| 251B00000X | Case Management | 10060 (Florida) | Secondary |
| 251S00000X | Community/behavioral Health | 10060 (Florida) | Primary |
| Provider Name | Nelson D Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285625079 PECOS PAC ID: 5496743221 Enrollment ID: I20040503000213 |
| Provider Name | George V Cioffi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578529343 PECOS PAC ID: 3779517636 Enrollment ID: I20050921000314 |
| Provider Name | Jose A Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154754851 PECOS PAC ID: 6103177878 Enrollment ID: I20180919000634 |
| Provider Name | Yenny Porrata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316453020 PECOS PAC ID: 5193824332 Enrollment ID: I20200519002277 |
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