| Maya Research Center Inc | |
|
14100 Palmetto Frntg Rd Ste 110 Miami Lakes FL 33016-1568 | |
| (305) 558-9344 | |
| (305) 558-9341 |
| Full Name | Maya Research Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 14100 Palmetto Frntg Rd Ste 110, Miami Lakes, Florida |
| Authorized Official Name and Position | Ronald R Almaguer Guerrero (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 7867158937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maya Research Center Inc 14100 Palmetto Frntg Rd Ste 110 Miami Lakes FL 33016-1568 Ph: (305) 558-9344 | Maya Research Center Inc 14100 Palmetto Frntg Rd Ste 110 Miami Lakes FL 33016-1568 Ph: (305) 558-9344 |
| NPI Number | 1205272119 |
|---|---|
| Provider Enumeration Date | 05/18/2013 |
| Last Update Date | 06/27/2024 |
| Medicare PECOS PAC ID | 4284877044 |
|---|---|
| Medicare Enrollment ID | O20130826000852 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205272119 | NPI | - | NPPES |
| 10D2048675 | Other | FL | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Nelson D Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285625079 PECOS PAC ID: 5496743221 Enrollment ID: I20040503000213 |
| Provider Name | Tania A Velez Calao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942573316 PECOS PAC ID: 4486957966 Enrollment ID: I20160115000828 |
| Provider Name | Dixis Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851872212 PECOS PAC ID: 0244621803 Enrollment ID: I20211216000111 |
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