| Pro Community Services Corp | |
|
3750 W 16th Ave Ste 138u Hialeah FL 33012-4661 | |
| (786) 881-0010 | |
| (305) 200-5631 |
| Full Name | Pro Community Services Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 3750 W 16th Ave Ste 138u, Hialeah, Florida |
| Authorized Official Name and Position | Idiana Hernandez (PRESIDENT) |
| Authorized Official Contact | 7863701904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Community Services Corp 3750 W 16th Ave Ste 138u Hialeah FL 33012-4661 Ph: (786) 881-0010 | Pro Community Services Corp 3750 W 16th Ave Ste 138u Hialeah FL 33012-4661 Ph: (786) 881-0010 |
| NPI Number | 1962016048 |
|---|---|
| Provider Enumeration Date | 09/04/2020 |
| Last Update Date | 12/18/2024 |
| Certification Date | 12/18/2024 |
| Medicare PECOS PAC ID | 3577907062 |
|---|---|
| Medicare Enrollment ID | O20240223001565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962016048 | NPI | - | NPPES |
| Provider Name | Michel Bormey Garcia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1205367570 PECOS PAC ID: 5496187692 Enrollment ID: I20191108001390 |
| Provider Name | Marieta Garcia De Porto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497761480 PECOS PAC ID: 2163868993 Enrollment ID: I20240314002245 |
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