| Mind Liberty Center Inc | |
|
2190 Nw 2nd St Miami FL 33125-5326 | |
| (305) 876-6463 | |
| (786) 744-6463 |
| Full Name | Mind Liberty Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2190 Nw 2nd St, Miami, Florida |
| Authorized Official Name and Position | Francisco Torres (PRESIDENT) |
| Authorized Official Contact | 3058766463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Liberty Center Inc 2190 Nw 2nd St Miami FL 33125-5326 Ph: (305) 876-6463 | Mind Liberty Center Inc 2190 Nw 2nd St Miami FL 33125-5326 Ph: (305) 876-6463 |
| NPI Number | 1275118986 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 12/19/2022 |
| Medicare PECOS PAC ID | 5698152585 |
|---|---|
| Medicare Enrollment ID | O20220516000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275118986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Celia I Salas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184199481 PECOS PAC ID: 4587990783 Enrollment ID: I20190725002251 |
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