| B Well Community Center Corp | |
|
10500 Nw 26th St Ste A102c Doral FL 33172-2158 | |
| (305) 646-1799 | |
| Not Available |
| Full Name | B Well Community Center Corp |
|---|---|
| Speciality | Counselor |
| Location | 10500 Nw 26th St Ste A102c, Doral, Florida |
| Authorized Official Name and Position | Carmen Salvador (CEO) |
| Authorized Official Contact | 3057738009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B Well Community Center Corp 10500 Nw 26th St Ste A102c Doral FL 33172-2158 Ph: (305) 646-1799 | B Well Community Center Corp 10500 Nw 26th St Ste A102c Doral FL 33172-2158 Ph: (305) 646-1799 |
| NPI Number | 1467075002 |
|---|---|
| Provider Enumeration Date | 05/18/2020 |
| Last Update Date | 10/29/2020 |
| Certification Date | 10/29/2020 |
| Medicare PECOS PAC ID | 4880095389 |
|---|---|
| Medicare Enrollment ID | O20210622000569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467075002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gerardo Minsal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982606117 PECOS PAC ID: 5496777104 Enrollment ID: I20051222000026 |
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