| Equilibrium MD Corp | |
|
11440 N Kendall Dr Ste 110 Miami FL 33176-1024 | |
| (786) 334-2494 | |
| (786) 221-2883 |
| Full Name | Equilibrium MD Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 11440 N Kendall Dr Ste 110, Miami, Florida |
| Authorized Official Name and Position | Rusdany Collado Fuentes (OWNER) |
| Authorized Official Contact | 3055023553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equilibrium MD Corp 13783 Sw 66th St Apt A219 Miami FL 33183-4516 | Equilibrium MD Corp 11440 N Kendall Dr Ste 110 Miami FL 33176-1024 Ph: (786) 334-2494 |
| NPI Number | 1396599577 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 08/03/2026 |
| Certification Date | 08/03/2026 |
| Medicare PECOS PAC ID | 8921547548 |
|---|---|
| Medicare Enrollment ID | O20240827004603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396599577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Isaac Tourgeman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801337670 PECOS PAC ID: 4789948290 Enrollment ID: I20180509002600 |
| Provider Name | Adalberto Valdes Denis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215664602 PECOS PAC ID: 0446636930 Enrollment ID: I20221006002752 |
| Provider Name | Rusdany Collado Fuentes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164050001 PECOS PAC ID: 5890161749 Enrollment ID: I20221018000130 |
| Provider Name | Dayron Morey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982305157 PECOS PAC ID: 3779948757 Enrollment ID: I20230426001328 |
| Provider Name | Sadek Debwan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396368585 PECOS PAC ID: 9830551159 Enrollment ID: I20231020001319 |
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