| Mil Sonrisas Medical Center Inc | |
|
2721 Nw 42nd Ave Ste 202 Miami FL 33142-5623 | |
| (786) 312-0513 | |
| Not Available |
| Full Name | Mil Sonrisas Medical Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2721 Nw 42nd Ave Ste 202, Miami, Florida |
| Authorized Official Name and Position | Dianelys Fuentes Galiano (PRESIDENT) |
| Authorized Official Contact | 7863120513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mil Sonrisas Medical Center Inc 2721 Nw 42nd Ave Ste 202 Miami FL 33142-5623 Ph: (786) 312-0513 | Mil Sonrisas Medical Center Inc 2721 Nw 42nd Ave Ste 202 Miami FL 33142-5623 Ph: (786) 312-0513 |
| NPI Number | 1578302105 |
|---|---|
| Provider Enumeration Date | 05/22/2024 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Medicare PECOS PAC ID | 4082154539 |
|---|---|
| Medicare Enrollment ID | O20240911000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578302105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Maria Teresa Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396300679 PECOS PAC ID: 6002268422 Enrollment ID: I20240122000532 |
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