| Resiliencia Medical Center Corp | |
|
2901 Sw 8th St Ste 206 Miami FL 33135-2850 | |
| (786) 371-3025 | |
| Not Available |
| Full Name | Resiliencia Medical Center Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 2901 Sw 8th St Ste 206, Miami, Florida |
| Authorized Official Name and Position | Maikel Tamayo (OWNER) |
| Authorized Official Contact | 7863713025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resiliencia Medical Center Corp 2901 Sw 8th St Ste 206 Miami FL 33135-2850 Ph: (786) 371-3025 | Resiliencia Medical Center Corp 2901 Sw 8th St Ste 206 Miami FL 33135-2850 Ph: (786) 371-3025 |
| NPI Number | 1891551735 |
|---|---|
| Provider Enumeration Date | 02/27/2024 |
| Last Update Date | 03/16/2024 |
| Certification Date | 03/16/2024 |
| Medicare PECOS PAC ID | 8729526231 |
|---|---|
| Medicare Enrollment ID | O20240815001260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891551735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ana M Villaverde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447411558 PECOS PAC ID: 0547321515 Enrollment ID: I20081209000515 |
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