| Universal Community Services Inc. | |
|
3908 W 12th Ave Hialeah FL 33012-4105 | |
| (786) 703-3923 | |
| Not Available |
| Full Name | Universal Community Services Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3908 W 12th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Hilda Maria Fernandez Calana (PRESIDENT) |
| Authorized Official Contact | 7865647180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Community Services Inc. 3908 W 12th Ave Hialeah FL 33012-4105 Ph: (305) 400-8904 | Universal Community Services Inc. 3908 W 12th Ave Hialeah FL 33012-4105 Ph: (786) 703-3923 |
| NPI Number | 1417570094 |
|---|---|
| Provider Enumeration Date | 05/18/2020 |
| Last Update Date | 03/07/2024 |
| Certification Date | 02/07/2024 |
| Medicare PECOS PAC ID | 0840694915 |
|---|---|
| Medicare Enrollment ID | O20210811002515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417570094 | NPI | - | NPPES |
| Provider Name | Frank A Baez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821335209 PECOS PAC ID: 4880972470 Enrollment ID: I20161102001972 |
| Provider Name | Roberto E Gimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508239872 PECOS PAC ID: 9830485291 Enrollment ID: I20170510002168 |
| Provider Name | Denisleydis Denis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821597014 PECOS PAC ID: 6103238597 Enrollment ID: I20221206003478 |
| Provider Name | Oscar L Mas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801995931 PECOS PAC ID: 5597109041 Enrollment ID: I20240223000206 |
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