Velasco Quintero Psychological Services Inc | |
10651 North Kendall Drive. Suite 120. Miami FL 33176-1573 | |
(786) 963-9087 | |
(786) 963-9093 |
Full Name | Velasco Quintero Psychological Services Inc |
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Speciality | Counselor |
Location | 10651 North Kendall Drive. Suite 120., Miami, Florida |
Authorized Official Name and Position | Dania Velasco-quintero (CLINICAL COORDINATOR) |
Authorized Official Contact | 7864028282 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Velasco Quintero Psychological Services Inc 10651 North Kendall Drive. Suite 120. Miami FL 33176-1573 Ph: (786) 963-9087 | Velasco Quintero Psychological Services Inc 10651 North Kendall Drive. Suite 120. Miami FL 33176-1573 Ph: (786) 963-9087 |
NPI Number | 1245507391 |
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Provider Enumeration Date | 11/17/2011 |
Last Update Date | 02/02/2024 |
Medicare PECOS PAC ID | 1153714597 |
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Medicare Enrollment ID | O20220208002077 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245507391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | MH9459 (Florida) | Primary |
101YM0800X | Counselor - Mental Health | MH7327 (Florida) | 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 |
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