| Jag Community Health, Inc. | |
|
3383 Nw 7th St Ste 312 Miami FL 33125-4140 | |
| (727) 657-4899 | |
| Not Available |
| Full Name | Jag Community Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3383 Nw 7th St Ste 312, Miami, Florida |
| Authorized Official Name and Position | Jorge Luis Galvez (PRESIDENT) |
| Authorized Official Contact | 7276574899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jag Community Health, Inc. 3383 Nw 7th St Ste 312 Miami FL 33125-4140 Ph: () - | Jag Community Health, Inc. 3383 Nw 7th St Ste 312 Miami FL 33125-4140 Ph: (727) 657-4899 |
| NPI Number | 1811521719 |
|---|---|
| Provider Enumeration Date | 02/28/2020 |
| Last Update Date | 02/28/2020 |
| Certification Date | 02/28/2020 |
| Medicare PECOS PAC ID | 2062823933 |
|---|---|
| Medicare Enrollment ID | O20201125000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811521719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Yeisell Duconge Munarriz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346744166 PECOS PAC ID: 6002296092 Enrollment ID: I20220708000367 |
| Provider Name | Anabel Garcia Ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184400426 PECOS PAC ID: 1355796053 Enrollment ID: I20231016003124 |
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