| Jativa Quality Services Llc | |
|
10300 Sw 72nd St Ste 261d Miami FL 33173-3014 | |
| (786) 327-3694 | |
| Not Available |
| Full Name | Jativa Quality Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10300 Sw 72nd St Ste 261d, Miami, Florida |
| Authorized Official Name and Position | Oswaldo Fuenmayor (OWNER) |
| Authorized Official Contact | 7863276394 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jativa Quality Services Llc 10300 Sw 72nd St Ste 261d Miami FL 33173-3014 Ph: () - | Jativa Quality Services Llc 10300 Sw 72nd St Ste 261d Miami FL 33173-3014 Ph: (786) 327-3694 |
| NPI Number | 1326867409 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Medicare PECOS PAC ID | 4284168782 |
|---|---|
| Medicare Enrollment ID | O20241106001721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326867409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Hernan Pabon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669683751 PECOS PAC ID: 2668556507 Enrollment ID: I20080301000013 |
| Provider Name | Oded Shechter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952419145 PECOS PAC ID: 9032273297 Enrollment ID: I20090203000248 |
| Provider Name | Freysdman Gonzalez Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528715224 PECOS PAC ID: 5597147835 Enrollment ID: I20220802003377 |
| Provider Name | Grettel Carballo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073185864 PECOS PAC ID: 3971941634 Enrollment ID: I20240401002873 |
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