| Monumental Connection Corp | |
|
9862 Sw 196th St Cutler Bay FL 33157-8664 | |
| (786) 252-8982 | |
| Not Available |
| Full Name | Monumental Connection Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9862 Sw 196th St, Cutler Bay, Florida |
| Authorized Official Name and Position | Keiliss Echemendia Hernandez (PRESIDENT) |
| Authorized Official Contact | 7862528982 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monumental Connection Corp 9862 Sw 196th St Cutler Bay FL 33157-8664 Ph: (786) 252-8982 | Monumental Connection Corp 9862 Sw 196th St Cutler Bay FL 33157-8664 Ph: (786) 252-8982 |
| NPI Number | 1235757774 |
|---|---|
| Provider Enumeration Date | 07/10/2020 |
| Last Update Date | 07/10/2020 |
| Certification Date | 07/10/2020 |
| Medicare PECOS PAC ID | 1850789504 |
|---|---|
| Medicare Enrollment ID | O20211028002509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235757774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| Provider Name | Keiliss Echemendia Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902303134 PECOS PAC ID: 1759779408 Enrollment ID: I20211028002612 |
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