| Alpha Therapy Center Inc | |
|
1840 W 49th St Ste 515 Hialeah FL 33012-2950 | |
| (305) 603-9202 | |
| (305) 603-9203 |
| Full Name | Alpha Therapy Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1840 W 49th St Ste 515, Hialeah, Florida |
| Authorized Official Name and Position | Maylin Nurque Martinez (OWNER) |
| Authorized Official Contact | 3056039202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Therapy Center Inc 1840 W 49th St Ste 408 Hialeah FL 33012-2978 Ph: (305) 603-9202 | Alpha Therapy Center Inc 1840 W 49th St Ste 515 Hialeah FL 33012-2950 Ph: (305) 603-9202 |
| NPI Number | 1811778624 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 03/28/2025 |
| Certification Date | 03/28/2025 |
| Medicare PECOS PAC ID | 3577900661 |
|---|---|
| Medicare Enrollment ID | O20240325003419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811778624 | NPI | - | NPPES |
| 120625300 | Medicaid | FL |
| Provider Name | Annie Casta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194024695 PECOS PAC ID: 4587892898 Enrollment ID: I20140113001607 |
| Provider Name | Ana Suarez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164706404 PECOS PAC ID: 8921317819 Enrollment ID: I20151015001008 |
| Provider Name | Diusnaidy Dominguez Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033754635 PECOS PAC ID: 2466883855 Enrollment ID: I20220829001328 |
| Provider Name | Nelson M. Perez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1346400322 PECOS PAC ID: 0143611657 Enrollment ID: I20231120002362 |
| 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 | Maikel Echemendia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093587776 PECOS PAC ID: 7517408206 Enrollment ID: I20240921000176 |
| Provider Name | Rebecca Marie Hidalgo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013724962 PECOS PAC ID: 3274062146 Enrollment ID: I20250122000672 |
| Provider Name | Norialys Fumero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720432131 PECOS PAC ID: 4587075965 Enrollment ID: I20250312004106 |
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