| Healthy Lives Mental Health Corp | |
|
600 Nw 35th Ave Ste 202-203 Miami FL 33125-4000 | |
| (305) 907-4984 | |
| (786) 703-3023 |
| Full Name | Healthy Lives Mental Health Corp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 600 Nw 35th Ave Ste 202-203, Miami, Florida |
| Authorized Official Name and Position | Pedro A Ramos (PRESIDENT) |
| Authorized Official Contact | 3059872539 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Lives Mental Health Corp 600 Nw 35th Ave Ste 202-203 Miami FL 33125-4000 Ph: (305) 987-2539 | Healthy Lives Mental Health Corp 600 Nw 35th Ave Ste 202-203 Miami FL 33125-4000 Ph: (305) 907-4984 |
| NPI Number | 1013504646 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 07/27/2023 |
| Medicare PECOS PAC ID | 8820480916 |
|---|---|
| Medicare Enrollment ID | O20220124000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013504646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Juan Carlos Rey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053690479 PECOS PAC ID: 1850601808 Enrollment ID: I20151104000838 |
| Provider Name | Yanet Sori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154894087 PECOS PAC ID: 0446642532 Enrollment ID: I20220124000417 |
| Provider Name | Juan Carlos Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215598081 PECOS PAC ID: 1557753779 Enrollment ID: I20220124001036 |
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