| Sol Community Center, Corp | |
|
9380 Sw 72nd St Ste B202b240 Miami FL 33173-3276 | |
| (786) 534-4979 | |
| Not Available |
| Full Name | Sol Community Center, Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 9380 Sw 72nd St Ste B202b240, Miami, Florida |
| Authorized Official Name and Position | Leidy Exposito De La Cruz (OWNER) |
| Authorized Official Contact | 7864055150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sol Community Center, Corp 9380 Sunset Dr Ste B240 Miami FL 33173-5483 Ph: (786) 405-5150 | Sol Community Center, Corp 9380 Sw 72nd St Ste B202b240 Miami FL 33173-3276 Ph: (786) 534-4979 |
| NPI Number | 1356942288 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Medicare PECOS PAC ID | 8325456593 |
|---|---|
| Medicare Enrollment ID | O20220511000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356942288 | NPI | - | NPPES |
| 108760400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Lazaro Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104093905 PECOS PAC ID: 6305247867 Enrollment ID: I20210622002731 |
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