| Mrs Psychiatry | |
|
5750 Collins Ave Apt 14g Miami Beach FL 33140-2328 | |
| (305) 200-7681 | |
| Not Available |
| Full Name | Mrs Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5750 Collins Ave Apt 14g, Miami Beach, Florida |
| Authorized Official Name and Position | Mayte S Ruiz Santiago (OWNER) |
| Authorized Official Contact | 3052007681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Psychiatry 5750 Collins Ave Apt 14g Miami Beach FL 33140-2328 Ph: (305) 200-7681 | Mrs Psychiatry 5750 Collins Ave Apt 14g Miami Beach FL 33140-2328 Ph: (305) 200-7681 |
| NPI Number | 1871108308 |
|---|---|
| Provider Enumeration Date | 09/11/2020 |
| Last Update Date | 09/11/2020 |
| Certification Date | 09/11/2020 |
| Medicare PECOS PAC ID | 1850706433 |
|---|---|
| Medicare Enrollment ID | O20210211002168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871108308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mayte S Ruiz Santiago |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447783246 PECOS PAC ID: 2769897347 Enrollment ID: I20210211002786 |
| Provider Name | Yolaine Sierra Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033698238 PECOS PAC ID: 4385017946 Enrollment ID: I20230301001098 |
| Provider Name | Richard Tome Izquierdo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164107819 PECOS PAC ID: 0749621837 Enrollment ID: I20240507001852 |
| Provider Name | Ivan Acevedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659122539 PECOS PAC ID: 4981149432 Enrollment ID: I20240709003952 |
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