| Crystal Minds Mental Health, Llc | |
|
8370 W Flagler St Ste 242 Miami FL 33144-2040 | |
| (786) 321-1600 | |
| (786) 744-7937 |
| Full Name | Crystal Minds Mental Health, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 8370 W Flagler St Ste 242, Miami, Florida |
| Authorized Official Name and Position | Enio Reyes Miranda (OWNER) |
| Authorized Official Contact | 7863211600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Minds Mental Health, Llc 1315 Sw 94th Ct Miami FL 33174-3072 Ph: (786) 307-1876 | Crystal Minds Mental Health, Llc 8370 W Flagler St Ste 242 Miami FL 33144-2040 Ph: (786) 321-1600 |
| NPI Number | 1932780590 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 09/04/2024 |
| Medicare PECOS PAC ID | 5395133227 |
|---|---|
| Medicare Enrollment ID | O20211026003659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932780590 | NPI | - | NPPES |
| Provider Name | Enio Reyes Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114237252 PECOS PAC ID: 7911224936 Enrollment ID: I20150331001707 |
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