| Care Dimensions Inc | |
|
9999 Ne 2nd Ave Miami Shores FL 33138-2352 | |
| (786) 306-3805 | |
| Not Available |
| Full Name | Care Dimensions Inc |
|---|---|
| Speciality | Case Management |
| Location | 9999 Ne 2nd Ave, Miami Shores, Florida |
| Authorized Official Name and Position | Wilfredo Morales Gonzalez (PRESIDENT AND EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7863063805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Dimensions Inc 9999 Ne 2nd Ave Miami Shores FL 33138-2352 Ph: (786) 306-3805 | Care Dimensions Inc 9999 Ne 2nd Ave Miami Shores FL 33138-2352 Ph: (786) 306-3805 |
| NPI Number | 1740748615 |
|---|---|
| Provider Enumeration Date | 03/08/2019 |
| Last Update Date | 06/15/2020 |
| Certification Date | 06/15/2020 |
| Medicare PECOS PAC ID | 0244641975 |
|---|---|
| Medicare Enrollment ID | O20201201001176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740748615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
| Provider Name | Alecia Folkes |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811358633 PECOS PAC ID: 4587085402 Enrollment ID: I20200602000840 |
| Provider Name | Ovial Reyes Amat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619575586 PECOS PAC ID: 8325585052 Enrollment ID: I20240731000619 |
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