| Perfect Wellness Center, Inc | |
|
19100 Sw 106th Ave Unit 12 Cutler Bay FL 33157-7643 | |
| (305) 395-0281 | |
| Not Available |
| Full Name | Perfect Wellness Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 19100 Sw 106th Ave Unit 12, Cutler Bay, Florida |
| Authorized Official Name and Position | Alberto Martinez Medina (PRESIDENT) |
| Authorized Official Contact | 3053950281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perfect Wellness Center, Inc 19100 Sw 106th Ave Unit 12 Cutler Bay FL 33157-7643 Ph: (305) 395-0281 | Perfect Wellness Center, Inc 19100 Sw 106th Ave Unit 12 Cutler Bay FL 33157-7643 Ph: (305) 395-0281 |
| NPI Number | 1649895145 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 07/20/2021 |
| Certification Date | 07/20/2021 |
| Medicare PECOS PAC ID | 9335569391 |
|---|---|
| Medicare Enrollment ID | O20201014000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649895145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Armando Zabala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073504825 PECOS PAC ID: 4880684836 Enrollment ID: I20040513000411 |
| Provider Name | Gladys Fundora |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699029934 PECOS PAC ID: 9931540861 Enrollment ID: I20240509002425 |
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