| Rescatadores De Angeles, Llc. | |
|
1881 Nw 123rd Ave Pembroke Pines FL 33026-3825 | |
| (786) 487-1610 | |
| (786) 800-2866 |
| Full Name | Rescatadores De Angeles, Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1881 Nw 123rd Ave, Pembroke Pines, Florida |
| Authorized Official Name and Position | Virginia Rodriguez (OWNER) |
| Authorized Official Contact | 7864871610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rescatadores De Angeles, Llc. 1881 Nw 123rd Ave Pembroke Pines FL 33026-3825 Ph: (786) 487-1610 | Rescatadores De Angeles, Llc. 1881 Nw 123rd Ave Pembroke Pines FL 33026-3825 Ph: (786) 487-1610 |
| NPI Number | 1891206595 |
|---|---|
| Provider Enumeration Date | 10/20/2017 |
| Last Update Date | 02/03/2020 |
| Certification Date | 02/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891206595 | NPI | - | NPPES |
| 022500800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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