| Equilibrium Md Corp | |
|
11440 N Kendall Dr Ste 110 Miami FL 33176-1024 | |
| (786) 334-2494 | |
| (786) 221-2883 |
| Full Name | Equilibrium Md Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11440 N Kendall Dr Ste 110, Miami, Florida |
| Authorized Official Name and Position | Rusdany Collado Fuentes (OWNER) |
| Authorized Official Contact | 3055023553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equilibrium Md Corp 13783 Sw 66th St Apt A219 Miami FL 33183-4516 Ph: () - | Equilibrium Md Corp 11440 N Kendall Dr Ste 110 Miami FL 33176-1024 Ph: (786) 334-2494 |
| NPI Number | 1396599577 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 04/24/2025 |
| Certification Date | 04/24/2025 |
| Medicare PECOS PAC ID | 8921547548 |
|---|---|
| Medicare Enrollment ID | O20240827004603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396599577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Rusdany Collado Fuentes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164050001 PECOS PAC ID: 5890161749 Enrollment ID: I20221018000130 |
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