| Family United Health Community Inc | |
|
8725 Nw 18th Ter Ste 206 Doral FL 33172-2629 | |
| (786) 451-8700 | |
| Not Available |
| Full Name | Family United Health Community Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8725 Nw 18th Ter Ste 206, Doral, Florida |
| Authorized Official Name and Position | Luis R Garcia Jimenez (CFO) |
| Authorized Official Contact | 7864518700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family United Health Community Inc 8725 Nw 18th Ter Ste 206 Doral FL 33172-2629 Ph: (786) 451-8700 | Family United Health Community Inc 8725 Nw 18th Ter Ste 206 Doral FL 33172-2629 Ph: (786) 451-8700 |
| NPI Number | 1851994628 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 02/12/2022 |
| Certification Date | 02/12/2022 |
| Medicare PECOS PAC ID | 3577964956 |
|---|---|
| Medicare Enrollment ID | O20210623000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851994628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Fernando L Soutullo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346257805 PECOS PAC ID: 5395728885 Enrollment ID: I20040607001448 |
| Provider Name | Lawrence M Welkovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902827850 PECOS PAC ID: 2264411008 Enrollment ID: I20040715001138 |
| Provider Name | Eric Rafael Campillo-juig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205039005 PECOS PAC ID: 6901173566 Enrollment ID: I20171220002705 |
| Provider Name | Olga L Mendoza |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306912878 PECOS PAC ID: 0941112387 Enrollment ID: I20190710002433 |
| Provider Name | Reymundo Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750751137 PECOS PAC ID: 9739503293 Enrollment ID: I20200717000144 |
| Provider Name | Lazaro Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104093905 PECOS PAC ID: 6305247867 Enrollment ID: I20210622002731 |
| Provider Name | Olaocha Okwuadigbo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619443728 PECOS PAC ID: 1759773708 Enrollment ID: I20220125000517 |
| Provider Name | Maydenis Monzon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336790294 PECOS PAC ID: 6103212683 Enrollment ID: I20220409000207 |
| Provider Name | Maydibis Blanco Alonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083208599 PECOS PAC ID: 9335525351 Enrollment ID: I20220928003223 |
| Provider Name | Taymi Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386238897 PECOS PAC ID: 0840665022 Enrollment ID: I20230403000266 |
| Provider Name | Liliam Rivero Fundora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609486943 PECOS PAC ID: 3274994462 Enrollment ID: I20230803004257 |
| Provider Name | Kenia Montero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134722127 PECOS PAC ID: 4284081225 Enrollment ID: I20231113001537 |
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