| Milagros International Foundation, Corp | |
|
2199-b W Flagler St Miami FL 33135-1638 | |
| (786) 956-9438 | |
| Not Available |
| Full Name | Milagros International Foundation, Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2199-b W Flagler St, Miami, Florida |
| Authorized Official Name and Position | Norma Bustamante (OWNER) |
| Authorized Official Contact | 7869569438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milagros International Foundation, Corp 2199-b W Flagler St Miami FL 33135-1638 Ph: (786) 956-9438 | Milagros International Foundation, Corp 2199-b W Flagler St Miami FL 33135-1638 Ph: (786) 956-9438 |
| NPI Number | 1336914274 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 2264875764 |
|---|---|
| Medicare Enrollment ID | O20240212004402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336914274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Amy M Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912315714 PECOS PAC ID: 9830457258 Enrollment ID: I20171212002918 |
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