| Living Care Therapy Center Inc | |
|
10511 Sw 88th St Ste C103 Miami FL 33176-1546 | |
| (786) 530-7427 | |
| (305) 275-8948 |
| Full Name | Living Care Therapy Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10511 Sw 88th St Ste C103, Miami, Florida |
| Authorized Official Name and Position | Vanessa Barrinat (PRESIDENT) |
| Authorized Official Contact | 7865307427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Care Therapy Center Inc 10511 Sw 88th St Ste C103 Miami FL 33176-1546 Ph: (786) 530-7427 | Living Care Therapy Center Inc 10511 Sw 88th St Ste C103 Miami FL 33176-1546 Ph: (786) 530-7427 |
| NPI Number | 1326695289 |
|---|---|
| Provider Enumeration Date | 08/24/2019 |
| Last Update Date | 12/21/2024 |
| Certification Date | 12/21/2024 |
| Medicare PECOS PAC ID | 1850715731 |
|---|---|
| Medicare Enrollment ID | O20200724000858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326695289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Lawrence M Welkovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902827850 PECOS PAC ID: 2264411008 Enrollment ID: I20040715001138 |
| Provider Name | Pedro Christian Castellanos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730614926 PECOS PAC ID: 9739450594 Enrollment ID: I20190930000201 |
| Provider Name | Odalis Del Rio Cuevas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053926717 PECOS PAC ID: 0840602231 Enrollment ID: I20201208002645 |
| Provider Name | Laura Pinero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376240762 PECOS PAC ID: 5496197253 Enrollment ID: I20240524000154 |
| Provider Name | Carmen Fresneda Miller |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841813839 PECOS PAC ID: 1355885088 Enrollment ID: I20240704000405 |
| Provider Name | Yenny Tabraue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932678802 PECOS PAC ID: 9335677152 Enrollment ID: I20250129003234 |
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