| Mental Healthnetwork , Inc | |
|
124 Se 1st Rd Unit A Homestead FL 33030-7357 | |
| (786) 255-7979 | |
| (786) 258-9772 |
| Full Name | Mental Healthnetwork , Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 124 Se 1st Rd Unit A, Homestead, Florida |
| Authorized Official Name and Position | Roxana Valderrama (PRESIDENT) |
| Authorized Official Contact | 7862557979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Healthnetwork , Inc 124 Se 1st Rd Unit A Homestead FL 33030-7357 Ph: (786) 255-7979 | Mental Healthnetwork , Inc 124 Se 1st Rd Unit A Homestead FL 33030-7357 Ph: (786) 255-7979 |
| NPI Number | 1073001947 |
|---|---|
| Provider Enumeration Date | 04/26/2018 |
| Last Update Date | 04/29/2021 |
| Certification Date | 04/29/2021 |
| Medicare PECOS PAC ID | 8123438371 |
|---|---|
| Medicare Enrollment ID | O20201104000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073001947 | NPI | - | NPPES |
| 105045200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Dayron Barzaga Dieguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306486212 PECOS PAC ID: 3072927599 Enrollment ID: I20210125001808 |
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