| Orquidea Medical Center Llc | |
|
13190 Sw 134th St Ste B1 Miami FL 33186-4460 | |
| (786) 429-1276 | |
| (786) 429-1217 |
| Full Name | Orquidea Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13190 Sw 134th St Ste B1, Miami, Florida |
| Authorized Official Name and Position | Janis Rodriguez-cepero (CEO) |
| Authorized Official Contact | 7864291276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orquidea Medical Center Llc 13190 Sw 134th St Ste B1 Miami FL 33186-4460 Ph: (786) 429-1276 | Orquidea Medical Center Llc 13190 Sw 134th St Ste B1 Miami FL 33186-4460 Ph: (786) 429-1276 |
| NPI Number | 1558105817 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/21/2024 |
| Medicare PECOS PAC ID | 9133650096 |
|---|---|
| Medicare Enrollment ID | O20241002001799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558105817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Micaela S Benayoun |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073116000 PECOS PAC ID: 0042669913 Enrollment ID: I20231218002750 |
| Provider Name | Pedro San Martin Parra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205414604 PECOS PAC ID: 4284171505 Enrollment ID: I20240805002855 |
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