|
| |
|
8551 Nw South River Dr Medley FL 33166-7426 | |
| (305) 603-9344 | |
| (305) 631-2180 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 8551 Nw South River Dr, Medley, Florida |
| Authorized Official Name and Position | Roberto Martinez Abreu (PRESIDENT) |
| Authorized Official Contact | 5616484931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8551 Nw South River Dr Medley FL 33166-7426 Ph: (305) 603-9344 | 8551 Nw South River Dr Medley FL 33166-7426 Ph: (305) 603-9344 |
| NPI Number | 1740045236 |
|---|---|
| Provider Enumeration Date | 02/14/2024 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/29/2024 |
| Medicare PECOS PAC ID | 1557892114 |
|---|---|
| Medicare Enrollment ID | O20241007002098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740045236 | NPI | - | NPPES |
| Provider Name | Sander Fernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922394485 PECOS PAC ID: 7618197161 Enrollment ID: I20171006000397 |
| Provider Name | Mayelin Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790220911 PECOS PAC ID: 4688067648 Enrollment ID: I20220215002658 |
| Provider Name | Arturo Dominguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922551589 PECOS PAC ID: 9436599701 Enrollment ID: I20240503000488 |
| Provider Name | Maria L Gonzalez Ibarra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659794998 PECOS PAC ID: 1759829765 Enrollment ID: I20240821001181 |
Flex Behavior Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8600 Nw South River Dr Ste 232, Medley, FL 33166 Phone: 786-647-8534 | |
Aba Children Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8600 Nw South River Dr Ste C, Medley, FL 33166 Phone: 786-337-1558 | |
By Friends, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9401 Nw 106th St Ste 108, Medley, FL 33178 Phone: 305-763-1343 | |
Bright U Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9401 Nw 106th St Ste 108, Medley, FL 33178 Phone: 305-763-1343 | |
Mind And Soul Medical Therapy Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7911 Nw 72nd Ave Ste 115, Medley, FL 33166 Phone: 786-953-8744 | |