| Life Care Behavioral Management Inc | |
|
7801 Coral Way Ste 121 Miami FL 33155-6538 | |
| (786) 409-5690 | |
| Not Available |
| Full Name | Life Care Behavioral Management Inc |
|---|---|
| Speciality | General Practice |
| Location | 7801 Coral Way Ste 121, Miami, Florida |
| Authorized Official Name and Position | Migdrey Napoles (PRESIDENT) |
| Authorized Official Contact | 7864095690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Care Behavioral Management Inc 7801 Coral Way Ste 121 Miami FL 33155-6538 Ph: (786) 409-5690 | Life Care Behavioral Management Inc 7801 Coral Way Ste 121 Miami FL 33155-6538 Ph: (786) 409-5690 |
| NPI Number | 1013397298 |
|---|---|
| Provider Enumeration Date | 06/03/2015 |
| Last Update Date | 01/31/2022 |
| Certification Date | 01/31/2022 |
| Medicare PECOS PAC ID | 8325398563 |
|---|---|
| Medicare Enrollment ID | O20180907002793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013397298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 208D00000X | General Practice | () | Primary |
| 251B00000X | Case Management | () | Secondary |
| 251S00000X | Community/behavioral Health | () | Secondary |
| Provider Name | Jose C Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669515730 PECOS PAC ID: 8325959117 Enrollment ID: I20031113000680 |
| Provider Name | Linda M Collado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588958391 PECOS PAC ID: 7517117591 Enrollment ID: I20170725002952 |
| Provider Name | Yudit Padron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235609561 PECOS PAC ID: 8628311594 Enrollment ID: I20190515003287 |
| Provider Name | Carlos Diaz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770125098 PECOS PAC ID: 3577983741 Enrollment ID: I20201009001396 |
| Provider Name | Jorge Luis Jorge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366949737 PECOS PAC ID: 9537564687 Enrollment ID: I20210827000257 |
| Provider Name | Maria Teresa Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396300679 PECOS PAC ID: 6002268422 Enrollment ID: I20240122000532 |
| Provider Name | Lissette Cid Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043969215 PECOS PAC ID: 1557709631 Enrollment ID: I20240409002302 |
| Provider Name | Heidi D Chico |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649850959 PECOS PAC ID: 2163954389 Enrollment ID: I20241014001126 |
| Provider Name | Jesabel Garcia Bergouignan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598327561 PECOS PAC ID: 4688167786 Enrollment ID: I20251205004439 |
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