| Mgo Professional Health Co | |
|
6625 Miami Lakes Dr Ste. 313 Miami Lakes FL 33014-2708 | |
| (305) 967-6735 | |
| (305) 967-6740 |
| Full Name | Mgo Professional Health Co |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6625 Miami Lakes Dr, Miami Lakes, Florida |
| Authorized Official Name and Position | Maribel Aguilera (MD) |
| Authorized Official Contact | 3059676735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mgo Professional Health Co 6625 Miami Lakes Dr Ste. 313 Miami Lakes FL 33014-2708 Ph: (305) 967-6735 | Mgo Professional Health Co 6625 Miami Lakes Dr Ste. 313 Miami Lakes FL 33014-2708 Ph: (305) 967-6735 |
| NPI Number | 1801102835 |
|---|---|
| Provider Enumeration Date | 08/27/2010 |
| Last Update Date | 09/09/2010 |
| Medicare PECOS PAC ID | 1456549948 |
|---|---|
| Medicare Enrollment ID | O20101228000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801102835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME87958 (Florida) | Primary |
| Provider Name | Maribel Aguilera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659343283 PECOS PAC ID: 3577451749 Enrollment ID: I20040309000536 |
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