| Sicigia Llc | |
|
1450 Madruga Ave Ste 302 Coral Gables FL 33146-3164 | |
| (786) 408-4636 | |
| Not Available |
| Full Name | Sicigia Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1450 Madruga Ave Ste 302, Coral Gables, Florida |
| Authorized Official Name and Position | Yesenia Kuan (OWNER) |
| Authorized Official Contact | 7864084636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sicigia Llc 10820 Sw 171st St Miami FL 33157-4053 Ph: () - | Sicigia Llc 1450 Madruga Ave Ste 302 Coral Gables FL 33146-3164 Ph: (786) 408-4636 |
| NPI Number | 1790470441 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/08/2023 |
| Medicare PECOS PAC ID | 6608313978 |
|---|---|
| Medicare Enrollment ID | O20240805000874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790470441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Yesenia Kuan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477057602 PECOS PAC ID: 6305234584 Enrollment ID: I20211020001020 |
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