| New Horizons Community Mental Health Center, Inc | |
|
1469 Nw 36th St Miami FL 33142-5557 | |
| (305) 635-7444 | |
| (305) 638-5507 |
| Full Name | New Horizons Community Mental Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1469 Nw 36th St, Miami, Florida |
| Authorized Official Name and Position | Deborah H Korray (CHIEF INFORMATION OFFICER) |
| Authorized Official Contact | 3056350366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Horizons Community Mental Health Center, Inc 1469 Nw 36th St Miami FL 33142-5557 Ph: (305) 635-0366 | New Horizons Community Mental Health Center, Inc 1469 Nw 36th St Miami FL 33142-5557 Ph: (305) 635-7444 |
| NPI Number | 1952360620 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 12/09/2019 |
| Medicare PECOS PAC ID | 8729008214 |
|---|---|
| Medicare Enrollment ID | O20051129000699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952360620 | NPI | - | NPPES |
| 060346501 | Medicaid | FL | |
| 060346500 | Medicaid | FL | |
| 297994 | Other | FL | AMERIGROUP |
| Provider Name | Bruce D Korray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598974750 PECOS PAC ID: 2466484290 Enrollment ID: I20050901000215 |
| Provider Name | Ginette D Diederich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154456374 PECOS PAC ID: 5890715254 Enrollment ID: I20051130000211 |
| Provider Name | Marlene Kastrinos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790774438 PECOS PAC ID: 6406957281 Enrollment ID: I20070724000124 |
| Provider Name | Liana M Mendoza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750585139 PECOS PAC ID: 5193802080 Enrollment ID: I20080402000499 |
| Provider Name | Joseph Whitfield Poitier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003038738 PECOS PAC ID: 9638363633 Enrollment ID: I20101103001302 |
| Provider Name | Sandra J Fujita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437160280 PECOS PAC ID: 6800115684 Enrollment ID: I20150428002190 |
| Provider Name | Ruben Bembibre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689962672 PECOS PAC ID: 7911206479 Enrollment ID: I20160527000388 |
| Provider Name | Nelson Andino Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851760060 PECOS PAC ID: 3072801257 Enrollment ID: I20161004002727 |
| Provider Name | Ernesto Guevara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093342818 PECOS PAC ID: 5890115505 Enrollment ID: I20201019003232 |
| Provider Name | Maytee Regla Cuevas Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427803527 PECOS PAC ID: 3072056365 Enrollment ID: I20240614001221 |
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