| Progressive Medical Center Inc | |
|
12595 Sw 137th Ave Ste 110 Miami FL 33186-4218 | |
| (305) 465-9379 | |
| (305) 203-4672 |
| Full Name | Progressive Medical Center Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 12595 Sw 137th Ave Ste 110, Miami, Florida |
| Authorized Official Name and Position | Manuel Gomez (PRESIDENT) |
| Authorized Official Contact | 3054659379 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Medical Center Inc 12595 Sw 137th Ave Ste 110 Miami FL 33186-4218 Ph: (305) 465-9379 | Progressive Medical Center Inc 12595 Sw 137th Ave Ste 110 Miami FL 33186-4218 Ph: (305) 465-9379 |
| NPI Number | 1013592195 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 10/25/2023 |
| Certification Date | 10/25/2023 |
| Medicare PECOS PAC ID | 8820497423 |
|---|---|
| Medicare Enrollment ID | O20210602001819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013592195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Mary J Miranda-tourino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750817292 PECOS PAC ID: 2567705718 Enrollment ID: I20190510000767 |
| Provider Name | Ernesto Guevara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093342818 PECOS PAC ID: 5890115505 Enrollment ID: I20201019003232 |
| Provider Name | Raul Ulloa Valladares |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922574185 PECOS PAC ID: 6507255536 Enrollment ID: I20211113000065 |
| Provider Name | Mayelin Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790220911 PECOS PAC ID: 4688067648 Enrollment ID: I20220215002658 |
| Provider Name | Eliana Szwarc |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1356028245 PECOS PAC ID: 0941659379 Enrollment ID: I20231211003637 |
| Provider Name | Yanet De La Tejera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285172569 PECOS PAC ID: 9032568217 Enrollment ID: I20231213001795 |
| 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 | Gretzky K Fuentes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568178093 PECOS PAC ID: 7315397189 Enrollment ID: I20231220002706 |
Future Care Solution Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3911 Sw 67th Ave, Miami, FL 33155 Phone: 305-740-6960 Fax: 305-740-6959 | |
Kids Behaviors Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14554 Sw 143rd Pl, Miami, FL 33186 Phone: 786-523-2414 | |
Deborah M. Thevenin, Ph.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7685 Sw 104th St, Suite 100, Miami, FL 33156 Phone: 305-666-8000 Fax: 305-666-4311 | |
Miami-dade County Community Action And Human Services Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Nw 79th St, Miami, FL 33150 Phone: 305-751-4342 Fax: 305-759-2763 | |
Luzmila Victorero Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 Sw 77th Ave, Miami, FL 33144 Phone: 786-406-4933 | |
Adaga Therapy Group Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2926 Sw 145th Ave, Miami, FL 33175 Phone: 305-301-1856 | |
Advance Behavior Coalition Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14531 Sw 157th Ct, Miami, FL 33196 Phone: 305-733-9005 |