| Rhaisa A Dumenigo Md Llc | |
|
78 Sw 13 Ave Suite 201 Miami FL 33135 | |
| (305) 389-2410 | |
| Not Available |
| Full Name | Rhaisa A Dumenigo Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 78 Sw 13 Ave, Miami, Florida |
| Authorized Official Name and Position | Rhaisa A Dumenigo (OWNER) |
| Authorized Official Contact | 3053892410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhaisa A Dumenigo Md Llc 78 Sw 13 Ave Suite 201 Miami FL 33135 Ph: () - | Rhaisa A Dumenigo Md Llc 78 Sw 13 Ave Suite 201 Miami FL 33135 Ph: (305) 389-2410 |
| NPI Number | 1841518107 |
|---|---|
| Provider Enumeration Date | 05/12/2010 |
| Last Update Date | 05/12/2010 |
| Medicare PECOS PAC ID | 4688862618 |
|---|---|
| Medicare Enrollment ID | O20101217000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841518107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME106033 (Florida) | Primary |
| Provider Name | Rhaisa A Dumenigo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225248628 PECOS PAC ID: 1759579790 Enrollment ID: I20101217000378 |
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