| Business As Named | |
|
4308 Alton Rd Suite 420 Miami Beach FL 33140-4556 | |
| (305) 695-2727 | |
| (305) 534-1421 |
| Full Name | Business As Named |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4308 Alton Rd, Miami Beach, Florida |
| Authorized Official Name and Position | Juan Carlos Paredes (OWNER) |
| Authorized Official Contact | 3056952727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Business As Named 4308 Alton Rd Suite 420 Miami Beach FL 33140-4556 Ph: (305) 695-2727 | Business As Named 4308 Alton Rd Suite 420 Miami Beach FL 33140-4556 Ph: (305) 695-2727 |
| NPI Number | 1164684445 |
|---|---|
| Provider Enumeration Date | 06/27/2008 |
| Last Update Date | 03/09/2015 |
| Medicare PECOS PAC ID | 4082761515 |
|---|---|
| Medicare Enrollment ID | O20090420000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164684445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Juan C Paredes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295759280 PECOS PAC ID: 1153393426 Enrollment ID: I20040807000113 |
| Provider Name | Maria Del Pilar Solano |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508883570 PECOS PAC ID: 3779660469 Enrollment ID: I20080404000532 |
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