| Serenity Community Mental Health Center Llc | |
|
3621 Sw 107th Ave Miami FL 33165-3636 | |
| (786) 534-8366 | |
| (786) 534-7118 |
| Full Name | Serenity Community Mental Health Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3621 Sw 107th Ave, Miami, Florida |
| Authorized Official Name and Position | Yadira Santana (OWNER) |
| Authorized Official Contact | 7865348366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Community Mental Health Center Llc 3621 Sw 107th Ave Miami FL 33165-3636 Ph: (786) 534-8366 | Serenity Community Mental Health Center Llc 3621 Sw 107th Ave Miami FL 33165-3636 Ph: (786) 534-8366 |
| NPI Number | 1457705634 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 06/10/2024 |
| Medicare PECOS PAC ID | 4587946793 |
|---|---|
| Medicare Enrollment ID | O20170124001453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457705634 | NPI | - | NPPES |
| Provider Name | Nelson D Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285625079 PECOS PAC ID: 5496743221 Enrollment ID: I20040503000213 |
| Provider Name | Osvaldo Fernandez-dominguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821310632 PECOS PAC ID: 5698806636 Enrollment ID: I20100708000383 |
| Provider Name | Sandra R Pelaez-mursey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942747126 PECOS PAC ID: 9436245883 Enrollment ID: I20170807001100 |
| Provider Name | Jorge Jorge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366949737 PECOS PAC ID: 9537564687 Enrollment ID: I20210827000257 |
| Provider Name | Monica Joann Bosch Batule |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295400174 PECOS PAC ID: 6800294380 Enrollment ID: I20211014000050 |
| Provider Name | Robert R Morales Gainza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184212276 PECOS PAC ID: 7315312675 Enrollment ID: I20230420000082 |
| Provider Name | Dania A Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841809852 PECOS PAC ID: 7214393891 Enrollment ID: I20230524001985 |
| Provider Name | Rolando Rolando Castillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215986906 PECOS PAC ID: 0446564868 Enrollment ID: I20240215000383 |
| Provider Name | Jessica Pujals |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477741551 PECOS PAC ID: 6800230749 Enrollment ID: I20240219001705 |
| Provider Name | Mailen Camacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609397231 PECOS PAC ID: 5496825721 Enrollment ID: I20240522000612 |
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