| Psychiatry Solutions Corp. | |
|
2500 Del Prado Blvd S Cape Coral FL 33904-5750 | |
| (239) 772-1194 | |
| (239) 443-4516 |
| Full Name | Psychiatry Solutions Corp. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2500 Del Prado Blvd S, Cape Coral, Florida |
| Authorized Official Name and Position | Jorge Cesar Diaz (PRESIDENT/OWNER) |
| Authorized Official Contact | 2392651791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Solutions Corp. 122 Sw 52nd Ter Cape Coral FL 33914-7129 Ph: (239) 443-8369 | Psychiatry Solutions Corp. 2500 Del Prado Blvd S Cape Coral FL 33904-5750 Ph: (239) 772-1194 |
| NPI Number | 1457836884 |
|---|---|
| Provider Enumeration Date | 10/02/2018 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Medicare PECOS PAC ID | 0648515163 |
|---|---|
| Medicare Enrollment ID | O20190102001485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457836884 | NPI | - | NPPES |
| PUHZ6 | Other | FL | BCBS |
| 025019600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jorge C Diaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679811657 PECOS PAC ID: 7214222181 Enrollment ID: I20160817001985 |
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