| Behavioral Collaborative Care Solutions, LLC | |
|
9000 Sw 137th Ave Ste 103 Miami FL 33186-1435 | |
| (305) 671-3503 | |
| (305) 671-3505 |
| Full Name | Behavioral Collaborative Care Solutions, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 9000 Sw 137th Ave Ste 103, Miami, Florida |
| Authorized Official Name and Position | Rosdualdo German Ferrer (CFO / COO) |
| Authorized Official Contact | 7862999529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Collaborative Care Solutions, LLC 9000 Sw 137th Ave Ste 103 Miami FL 33186-1435 Ph: (305) 671-3503 | Behavioral Collaborative Care Solutions, LLC 9000 Sw 137th Ave Ste 103 Miami FL 33186-1435 Ph: (305) 671-3503 |
| NPI Number | 1487196010 |
|---|---|
| Provider Enumeration Date | 11/14/2016 |
| Last Update Date | 03/03/2025 |
| Certification Date | 02/26/2025 |
| Medicare PECOS PAC ID | 4688906696 |
|---|---|
| Medicare Enrollment ID | O20191024000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487196010 | NPI | - | NPPES |
| Provider Name | Cesare M Rzadkowolsky Raoli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306975305 PECOS PAC ID: 7214924802 Enrollment ID: I20040427000425 |
| Provider Name | Hernan D Pabon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669683751 PECOS PAC ID: 2668556507 Enrollment ID: I20080301000013 |
| Provider Name | Albert L Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285091132 PECOS PAC ID: 4385976190 Enrollment ID: I20191029000420 |
| Provider Name | Odalys J. Waugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790715514 PECOS PAC ID: 7012341340 Enrollment ID: I20240221000032 |
| Provider Name | Diana Elena Rodriguez Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568258671 PECOS PAC ID: 0547785503 Enrollment ID: I20250422003514 |
| Provider Name | Maria Victoria Lazarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588439251 PECOS PAC ID: 9739698200 Enrollment ID: I20250605000126 |
| Provider Name | Barbara Eliansy Fernandez Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982322087 PECOS PAC ID: 1254848096 Enrollment ID: I20250728001801 |
| Provider Name | Laura Gomez-colin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194225367 PECOS PAC ID: 2567963911 Enrollment ID: I20250828002137 |
| Provider Name | Nicole Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710856406 PECOS PAC ID: 2062907264 Enrollment ID: I20251224000603 |
| Provider Name | Brian Amador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669344370 PECOS PAC ID: 0143795724 Enrollment ID: I20260410003342 |
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