| Universal Mental Center Corp | |
|
3498 Nw 7th St Miami FL 33125-4014 | |
| (786) 653-3719 | |
| Not Available |
| Full Name | Universal Mental Center Corp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3498 Nw 7th St, Miami, Florida |
| Authorized Official Name and Position | Lesther Campos (PRESIDENT) |
| Authorized Official Contact | 7866533719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Mental Center Corp 3498 Nw 7th St Miami FL 33125-4014 Ph: (786) 653-3719 | Universal Mental Center Corp 3498 Nw 7th St Miami FL 33125-4014 Ph: (786) 653-3719 |
| NPI Number | 1851149512 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Medicare PECOS PAC ID | 9436698537 |
|---|---|
| Medicare Enrollment ID | O20240903000990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851149512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Raul Ulloa Valladares |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922574185 PECOS PAC ID: 6507255536 Enrollment ID: I20211113000065 |
| Provider Name | Camilo Sandino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518552215 PECOS PAC ID: 3274980057 Enrollment ID: I20231116000638 |
| Provider Name | Maria O Hernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003213703 PECOS PAC ID: 3375987639 Enrollment ID: I20240215000565 |
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