| Carlos Izquierdo, | |
|
901 E 10th Ave Ste 39, Hialeah, FL 33010-3766 | |
| (305) 637-6400 | |
| (305) 636-5155 |
| Full Name | Carlos Izquierdo |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 901 E 10th Ave Ste 39, Hialeah, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013358217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH25142 (Florida) | Primary |
| Entity Name | Rivas Psychotherapy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437921368 PECOS PAC ID: 5395196513 Enrollment ID: O20240111002689 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Izquierdo, 5607 Nw 27th Ave, Miami, FL 33142-2826 Ph: (305) 805-1700 | Carlos Izquierdo, 901 E 10th Ave Ste 39, Hialeah, FL 33010-3766 Ph: (305) 637-6400 |
Juliana Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4175 W 20th Ave, Hialeah, FL 33012 Phone: 305-825-0300 | |
Sergio Ariel Gonzalez, Counselor Medicare: Medicare Enrolled Practice Location: 17780 Nw 67th Ave Apt 1023, Hialeah, FL 33015 Phone: 786-704-3145 | |
Rosario Hill, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 4175 W 20th Ave, Hialeah, FL 33012 Phone: 305-825-0300 | |
Aymee Florencia Prieto Rodriguez, LMHC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1890 W 56th St Apt 1207, Hialeah, FL 33012 Phone: 754-816-2357 | |
Ms. Ahlicia M. Tramel, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 4175 W 20th Ave, Hialeah, FL 33012 Phone: 305-825-0300 | |
Christine Yvette Arvelo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4175 W 20th Ave, Hialeah, FL 33012 Phone: 305-825-0300 |