Simon Health Medical Center, Inc | |
10250 Sw 56th St Ste D201 Miami FL 33165-7098 | |
(305) 877-6650 | |
Not Available |
Full Name | Simon Health Medical Center, Inc |
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Speciality | Psychiatry & Neurology |
Location | 10250 Sw 56th St Ste D201, Miami, Florida |
Authorized Official Name and Position | Leslybaby De La Caridad Montejo (OWNER/PRESIDENT) |
Authorized Official Contact | 3058985846 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Simon Health Medical Center, Inc 5600 Sw 135th Ave Ste 203 Miami FL 33183-5101 Ph: (305) 898-5846 | Simon Health Medical Center, Inc 10250 Sw 56th St Ste D201 Miami FL 33165-7098 Ph: (305) 877-6650 |
NPI Number | 1629615133 |
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Provider Enumeration Date | 12/03/2019 |
Last Update Date | 03/27/2023 |
Certification Date | 03/27/2023 |
Medicare PECOS PAC ID | 3274935549 |
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Medicare Enrollment ID | O20210708002131 |
Identifier | Type | State | Issuer |
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1629615133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
Provider Name | Oded Shechter |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952419145 PECOS PAC ID: 9032273297 Enrollment ID: I20090203000248 |
Provider Name | Jose A Guerra-valencia |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154673770 PECOS PAC ID: 6507187051 Enrollment ID: I20150609001381 |
Provider Name | Faisal A Quintar |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770041105 PECOS PAC ID: 6305279571 Enrollment ID: I20200124000322 |
Provider Name | Angela Maria Hansen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235685181 PECOS PAC ID: 6002212255 Enrollment ID: I20210914000281 |
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