| Astro Health And Rehab Center Llc | |
|
261 Westward Dr Ste 108 Miami Springs FL 33166-5206 | |
| (954) 268-7433 | |
| Not Available |
| Full Name | Astro Health And Rehab Center Llc |
|---|---|
| Speciality | General Practice |
| Location | 261 Westward Dr Ste 108, Miami Springs, Florida |
| Authorized Official Name and Position | Ramon Garcia (MANAGER) |
| Authorized Official Contact | 9542687433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Astro Health And Rehab Center Llc 261 Westward Dr Ste 108 Miami Springs FL 33166-5206 Ph: (305) 200-5176 | Astro Health And Rehab Center Llc 261 Westward Dr Ste 108 Miami Springs FL 33166-5206 Ph: (954) 268-7433 |
| NPI Number | 1154888402 |
|---|---|
| Provider Enumeration Date | 02/22/2019 |
| Last Update Date | 10/26/2024 |
| Certification Date | 10/26/2024 |
| Medicare PECOS PAC ID | 8224364914 |
|---|---|
| Medicare Enrollment ID | O20190802000691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154888402 | NPI | - | NPPES |
| 104708900 | Medicaid | FL | |
| 114693800 | Medicaid | FL |
| Provider Name | Mitchell Whitehead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427460526 PECOS PAC ID: 9537384060 Enrollment ID: I20170801003743 |
| Provider Name | Ramon Garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881107217 PECOS PAC ID: 6800145061 Enrollment ID: I20180821002107 |
| Provider Name | Dayami Repetti |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114584182 PECOS PAC ID: 0143558882 Enrollment ID: I20190820001620 |
| Provider Name | Carlos Isday Fernandez Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588276356 PECOS PAC ID: 4284052184 Enrollment ID: I20200909001309 |
| Provider Name | Yandi Diaz Vivo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922563709 PECOS PAC ID: 3678987864 Enrollment ID: I20210129000804 |
| Provider Name | Monica Fernandez Bravo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205438611 PECOS PAC ID: 6002216850 Enrollment ID: I20210615003205 |
| Provider Name | Jorge Luis Jorge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366949737 PECOS PAC ID: 9537564687 Enrollment ID: I20210827000257 |
| Provider Name | Viviana Isabel Manresa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760019590 PECOS PAC ID: 5496114779 Enrollment ID: I20230705001310 |
| Provider Name | Gretzky K Fuentes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568178093 PECOS PAC ID: 7315397189 Enrollment ID: I20231220002706 |
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