| Brightstar Community Mental Corp | |
|
3970 W Flagler St Ste 102 Coral Gables FL 33134-1642 | |
| (786) 266-0956 | |
| Not Available |
| Full Name | Brightstar Community Mental Corp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3970 W Flagler St Ste 102, Coral Gables, Florida |
| Authorized Official Name and Position | Jorge L Manso (PRESIDENT) |
| Authorized Official Contact | 7862660959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightstar Community Mental Corp 3970 W Flagler St Ste 102 Coral Gables FL 33134-1642 Ph: (786) 266-0956 | Brightstar Community Mental Corp 3970 W Flagler St Ste 102 Coral Gables FL 33134-1642 Ph: (786) 266-0956 |
| NPI Number | 1528610136 |
|---|---|
| Provider Enumeration Date | 07/13/2019 |
| Last Update Date | 03/10/2025 |
| Medicare PECOS PAC ID | 7113325929 |
|---|---|
| Medicare Enrollment ID | O20211008001298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528610136 | NPI | - | NPPES |
| 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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