MIND & SOUL MEDICAL CENTER INC (NPI# 1073136339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073136339 |
| Entity Type | Organization |
| Organization Name | MIND & SOUL MEDICAL CENTER INC |
| Practice Address |
2750 W 68th St Ste 207 Hialeah FL 33016-5450 |
| Practice Telephone | 7867927067 |
| Mailing Telephone | 7867927067 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | ADRIAN PEREZ GONZALEZ (PRESIDENT) |
| Authorized Official Telephone | 7865060648 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2750 W 68TH ST STE 207 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33016-5450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450580 | Yenly Hernandez Arrieta | Behavior Technician | 6550 West 22 Court, Hialeah, FL 33016 | 2020-09-03 |
| 1952929028 | Live Mental Care Inc | Community/Behavioral Health | 8040 Nw 95th St., Unit 226, Hialeah Gardens, FL 33016 | 2020-07-06 |
| 1497375059 | Lisset Sirven | Student in an Organized Health Care Education/Training Program | Palmetto General Hospital, 2001 W 68th St, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-23 |
| 1386264331 | Zahid Chaudhry | Student in an Organized Health Care Education/Training Program | 2001 W 68th Street, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-20 |
| 1386285021 | Monica Hurtado | Behavior Technician | 2480 W 67th Pl # 22, Hialeah, FL 33016 | 2019-10-03 |
| 1346892783 | Yamile Blanco Rodriguez | Behavior Technician | 2265 W 55th St, Hialeah, FL 33016 | 2019-07-16 |
| 1669938197 | Althea Aesthetics & Medical Arts Center | Pathology | 14160 Nw 77th Court., Suite 100, Miami Lakes, FL 33016 | 2019-02-20 |
| 1497226096 | Dominick Maurici | Physical Therapy Assistant | 9905 Nw 79 Ave, Hialeah Gardens, FL 33016 | 2018-12-09 |
| 1871061283 | Lazaro Teresa-calleja Jr. | Nurse Practitioner | 2715 West 73 Pl, Hialeah, FL 33016 | 2018-11-05 |
| 1245719640 | Yagna Elena Martinez La Fe | Nurse Practitioner | 7191 W 24th Ave Apt 56, Hialeah, FL 33016 | 2018-08-07 |
| Find all providers in zip 33016 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739806 | Twins Medical Services Corp | Community/Behavioral Health | 4051 E 8th Ave Ste 5, Hialeah, FL 33013-2800 | 2020-10-31 |
| 1417556903 | Genesis Community Mental Health LLC | Community/Behavioral Health | 6043 Nw 167th St Ste A10, Hialeah, FL 33015-4322 | 2020-10-26 |
| 1871192328 | Wellness Community & Medical Center Inc | Community/Behavioral Health | 946 E 25th St, Hialeah, FL 33013-3404 | 2020-10-25 |
| 1336755628 | Community Health Therapy Center | Community/Behavioral Health | 777 E 25th St Ste 507, Hialeah, FL 33013-3834 | 2020-09-22 |
| 1841805280 | Clinica Sur Medical Center Corp | Community/Behavioral Health | 18400 Nw 75th Pl Ste 106, Hialeah, FL 33015-2956 | 2020-09-12 |
| 1134737752 | Solutions Community Center, Corp | Community/Behavioral Health | 17699 Nw 78th Ave, Hialeah, FL 33015-3627 | 2020-07-20 |
| 1538786389 | Ya Health Community Center Inc | Community/Behavioral Health | 900 W 49th St Ste 512, Hialeah, FL 33012-3488 | 2020-06-28 |
| 1215566260 | Quality Health Care System Inc | Community/Behavioral Health | 419 W 49th St Ste 212-213, Hialeah, FL 33012-3654 | 2020-04-02 |
| 1619500105 | Santa Ana Behavior Institute | Community/Behavioral Health | 6500 W 4th Ave Ste 32, Hialeah, FL 33012-6606 | 2020-02-13 |
| 1336771195 | Wellness Support Inc | Community/Behavioral Health | 260 Hialeah Dr, Hialeah, FL 33010-5219 | 2020-02-10 |
| Find all providers in HIALEAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.