| Sunset Community Mental Health | |
|
9415 Sunset Dr Ste 151 Miami FL 33173-5492 | |
| (305) 972-0375 | |
| Not Available |
| Full Name | Sunset Community Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 9415 Sunset Dr Ste 151, Miami, Florida |
| Authorized Official Name and Position | Gladys Linares (PRESIDENT) |
| Authorized Official Contact | 3059720375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunset Community Mental Health 4840 Sw 90th Ct Miami FL 33165-6660 Ph: (305) 972-0375 | Sunset Community Mental Health 9415 Sunset Dr Ste 151 Miami FL 33173-5492 Ph: (305) 972-0375 |
| NPI Number | 1467936609 |
|---|---|
| Provider Enumeration Date | 09/24/2018 |
| Last Update Date | 09/24/2018 |
| Medicare PECOS PAC ID | 5294153318 |
|---|---|
| Medicare Enrollment ID | O20200922000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467936609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lidia R Bermudez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730250663 PECOS PAC ID: 1850338443 Enrollment ID: I20050415000204 |
| Provider Name | Ernesto Guevara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093342818 PECOS PAC ID: 5890115505 Enrollment ID: I20201019003232 |
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