Outpatient Med-psy Care | |
3271 Nw 7th St. Suite # 203 Miami FL 33125 | |
(786) 220-6902 | |
(866) 726-0526 |
Full Name | Outpatient Med-psy Care |
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Speciality | Psychologist |
Location | 3271 Nw 7th St., Miami, Florida |
Authorized Official Name and Position | Vivian D.j. Gonzalez-diaz (PRESIDENT) |
Authorized Official Contact | 7862206902 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Outpatient Med-psy Care Po Box 347604 Coral Gables FL 33234-7604 Ph: (305) 984-8422 | Outpatient Med-psy Care 3271 Nw 7th St. Suite # 203 Miami FL 33125 Ph: (786) 220-6902 |
NPI Number | 1306897954 |
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Provider Enumeration Date | 05/16/2006 |
Last Update Date | 07/02/2024 |
Certification Date | 07/02/2024 |
Medicare PECOS PAC ID | 0648282178 |
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Medicare Enrollment ID | O20060626000231 |
Identifier | Type | State | Issuer |
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1306897954 | NPI | - | NPPES |
Provider Name | Vivian D.j. Gonzalez Diaz |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1184639569 PECOS PAC ID: 4082626528 Enrollment ID: I20110629000094 |
Provider Name | Jessica Nicole Malvicino |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1790017598 PECOS PAC ID: 7517300684 Enrollment ID: I20240206000242 |
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