Mas Vida Medical Center Corp | |
15190 Sw 136th St Ste 11 Miami FL 33196-2618 | |
(786) 587-3606 | |
Not Available |
Full Name | Mas Vida Medical Center Corp |
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Speciality | Community/Behavioral Health |
Location | 15190 Sw 136th St Ste 11, Miami, Florida |
Authorized Official Name and Position | Leticia Menes (OWNER) |
Authorized Official Contact | 7865873606 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mas Vida Medical Center Corp 15190 Sw 136th St Ste 11 Miami FL 33196-2618 Ph: () - | Mas Vida Medical Center Corp 15190 Sw 136th St Ste 11 Miami FL 33196-2618 Ph: (786) 587-3606 |
NPI Number | 1992561492 |
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Provider Enumeration Date | 02/22/2024 |
Last Update Date | 08/07/2025 |
Medicare PECOS PAC ID | 5597107003 |
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Medicare Enrollment ID | O20240530000186 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992561492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Ana M Villaverde |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447411558 PECOS PAC ID: 0547321515 Enrollment ID: I20081209000515 |
Provider Name | Nancy Romero Fernandez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932775590 PECOS PAC ID: 3476932823 Enrollment ID: I20220615002401 |
Provider Name | Eliana Szwarc |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1356028245 PECOS PAC ID: 0941659379 Enrollment ID: I20231211003637 |
Provider Name | Micaela S Benayoun |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1073116000 PECOS PAC ID: 0042669913 Enrollment ID: I20231218002750 |
Provider Name | Fabian Ogala |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1265516793 PECOS PAC ID: 6709989734 Enrollment ID: I20250220004011 |
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