| |
7235 Coral Way Ste 202 Miami FL 33155-1451 | |
(786) 432-9108 | |
(786) 432-9109 |
Full Name | |
---|---|
Speciality | Psychiatry & Neurology |
Location | 7235 Coral Way Ste 202, Miami, Florida |
Authorized Official Name and Position | Susana Llanes Porto (OWNER) |
Authorized Official Contact | 7869709177 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
7235 Coral Way Ste 202 Miami FL 33155-1451 Ph: (786) 432-9108 | 7235 Coral Way Ste 202 Miami FL 33155-1451 Ph: (786) 432-9108 |
NPI Number | 1922725332 |
---|---|
Provider Enumeration Date | 10/26/2022 |
Last Update Date | 04/24/2024 |
Certification Date | 04/24/2024 |
Medicare PECOS PAC ID | 2769925130 |
---|---|
Medicare Enrollment ID | O20240613004601 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922725332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Cesare M Rzadkowolsky Raoli |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1306975305 PECOS PAC ID: 7214924802 Enrollment ID: I20040427000425 |
Future Care Solution Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3911 Sw 67th Ave, Miami, FL 33155 Phone: 305-740-6960 Fax: 305-740-6959 | |
Kids Behaviors Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14554 Sw 143rd Pl, Miami, FL 33186 Phone: 786-523-2414 | |
Deborah M. Thevenin, Ph.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7685 Sw 104th St, Suite 100, Miami, FL 33156 Phone: 305-666-8000 Fax: 305-666-4311 | |
Miami-dade County Community Action And Human Services Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Nw 79th St, Miami, FL 33150 Phone: 305-751-4342 Fax: 305-759-2763 | |
Luzmila Victorero Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 Sw 77th Ave, Miami, FL 33144 Phone: 786-406-4933 | |
Adaga Therapy Group Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2926 Sw 145th Ave, Miami, FL 33175 Phone: 305-301-1856 | |
Advance Behavior Coalition Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14531 Sw 157th Ct, Miami, FL 33196 Phone: 305-733-9005 |