| Wellbeing Oasis Community Center Llc | |
|
2121 Sw 3rd Ave Ste 205 Miami FL 33129-1458 | |
| (786) 304-8660 | |
| Not Available |
| Full Name | Wellbeing Oasis Community Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2121 Sw 3rd Ave Ste 205, Miami, Florida |
| Authorized Official Name and Position | Manuel Avila Quintana (OWNER) |
| Authorized Official Contact | 7863048660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellbeing Oasis Community Center Llc 2121 Sw 3rd Ave Ste 205 Miami FL 33129-1458 Ph: (786) 660-1301 | Wellbeing Oasis Community Center Llc 2121 Sw 3rd Ave Ste 205 Miami FL 33129-1458 Ph: (786) 304-8660 |
| NPI Number | 1760243273 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Medicare PECOS PAC ID | 7517305196 |
|---|---|
| Medicare Enrollment ID | O20240402000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760243273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Eric Adam Robbins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629398961 PECOS PAC ID: 9436370095 Enrollment ID: I20151120002523 |
| Provider Name | Taymi Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386238897 PECOS PAC ID: 0840665022 Enrollment ID: I20230403000266 |
| Provider Name | Yaquelyn Martinez Vera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518632058 PECOS PAC ID: 2163874744 Enrollment ID: I20240118004446 |
| Provider Name | Rebecca Pou Abreu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316202062 PECOS PAC ID: 2365884160 Enrollment ID: I20240524001351 |
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