| Miami Mental Health & Wellness Llc | |
|
9835 Sunset Dr Ste 105 Miami FL 33173-4648 | |
| (786) 937-9835 | |
| (786) 937-9834 |
| Full Name | Miami Mental Health & Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9835 Sunset Dr Ste 105, Miami, Florida |
| Authorized Official Name and Position | Alejandro De La Portilla (OWNER) |
| Authorized Official Contact | 7867972051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Mental Health & Wellness Llc 9835 Sunset Dr Ste 105 Miami FL 33173-4648 Ph: (786) 937-9835 | Miami Mental Health & Wellness Llc 9835 Sunset Dr Ste 105 Miami FL 33173-4648 Ph: (786) 937-9835 |
| NPI Number | 1073338307 |
|---|---|
| Provider Enumeration Date | 11/21/2024 |
| Last Update Date | 06/17/2026 |
| Certification Date | 06/17/2026 |
| Medicare PECOS PAC ID | 1658808258 |
|---|---|
| Medicare Enrollment ID | O20241220000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073338307 | NPI | - | NPPES |
| Provider Name | Yanisleidy Mondeja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497392039 PECOS PAC ID: 4789012733 Enrollment ID: I20200325001870 |
| Provider Name | Luceydis Pernut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134766223 PECOS PAC ID: 8527425396 Enrollment ID: I20230609001096 |
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