| Elite Psychiatric Associates Pa | |
|
7100 W 20th Ave Ste 201 Hialeah FL 33016-1812 | |
| (305) 725-0929 | |
| Not Available |
| Full Name | Elite Psychiatric Associates Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 7100 W 20th Ave Ste 201, Hialeah, Florida |
| Authorized Official Name and Position | Diana Margarita Saavedra (CORP MGR) |
| Authorized Official Contact | 3057250929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Psychiatric Associates Pa 7100 W 20th Ave Ste 201 Hialeah FL 33016-1812 Ph: (305) 725-0929 | Elite Psychiatric Associates Pa 7100 W 20th Ave Ste 201 Hialeah FL 33016-1812 Ph: (305) 725-0929 |
| NPI Number | 1285366823 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 06/30/2022 |
| Medicare PECOS PAC ID | 1052796620 |
|---|---|
| Medicare Enrollment ID | O20220917000474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285366823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Edwin A Gomez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780775098 PECOS PAC ID: 4880735406 Enrollment ID: I20100105000354 |
| Provider Name | Diana M Saavedra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386119402 PECOS PAC ID: 7214279066 Enrollment ID: I20190429000560 |
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