ATLANTIS MENTAL HEALTH CENTER, CORP (NPI# 1770596223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770596223 |
| Entity Type | Organization |
| Organization Name | ATLANTIS MENTAL HEALTH CENTER, CORP |
| Practice Address |
3900 Nw 79th Ave Suite 704 Doral FL 33166-6556 |
| Practice Telephone | 3054717353 |
| Mailing Telephone | 3054717353 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-01-08 |
| Authorized Official Name | MR. VLADIMIR DE LA CRUZ (PRESIDENT) |
| Authorized Official Telephone | 3054717353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
HCC7103 | FL | Ambulatory Health Care Facilities |
| Street Address |
3900 NW 79TH AVE SUITE 704 |
| City | DORAL |
| State | FL |
| Zip Code | 33166-6556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047366 | Gemini Medical Group Corp | Clinic/Center | 3900 Nw 79th Ave, Suite 704, Doral, FL 33166-6556 | 2005-07-20 |
| 1942755723 | Caring With Love Center | Clinic/Center | 3900 Nw 79th Ave, Suite 518, Doral, FL 33166-6556 | 2016-08-22 |
| 1083066971 | Masterpiece Behavioral Services, LLC | Community/Behavioral Health | 3900 Nw 79th Ave, Suite 599, Doral, FL 33166-6556 | 2016-07-05 |
| 1780034512 | Mayda Sarazola | Behavioral Analyst | 3900 Nw 79th Ave, Doral, FL 33166-6556 | 2016-06-13 |
| 1366891335 | International Research Partners, LLC | Specialist | 3900 Nw 79th Ave, Suite 520, Doral, FL 33166-6556 | 2016-06-09 |
| 1932557741 | International Medical Practice, LLC | Clinic/Center | 3900 Nw 79th Ave, Suite # 520, Doral, FL 33166-6556 | 2016-06-02 |
| 1992152193 | Asgles Medical Center Corp | General Practice | 3900 Nw 79th Ave, 594, Doral, FL 33166-6556 | 2016-05-17 |
| 1578924346 | Bluegreen Behavioral Health Center, Inc | Exclusive Provider Organization | 3900 Nw 79th Ave, Suite 213, Doral, FL 33166-6556 | 2016-03-08 |
| 1528428372 | Health & Wellness Evolution Co. | Clinic/Center | 3900 Nw 79th Ave, 531, Doral, FL 33166-6556 | 2016-03-07 |
| 1619341674 | Bernardina Valdez | Behavioral Analyst | 3900 Nw 79th Ave, Suite 501, Doral, FL 33166-6556 | 2015-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402027 | Sfl Nutrition | Nutritionist | 3901 Nw 79th Ave. Suite 245, #312, Miami, FL 33166 | 2019-08-11 |
| 1629543590 | Rosa Alina Alayo | Nurse Practitioner | 151 Fairway Dr Unit 2308, Miami Springs, FL 33166 | 2018-10-08 |
| 1518445618 | Icare Behavior Services, LLC | Behavior Technician | 8180 Nw 36th St Ste 100l, Doral, FL 33166 | 2018-07-31 |
| 1871087684 | Yohjan Suarez-martinez | Nurse Practitioner | 6221 Nw 36 Th St, Miami, FL 33166 | 2018-06-15 |
| 1639683709 | Sonia Gloria Garcia | Nurse Practitioner | 7325 Nw 36th St, Miami, FL 33166 | 2017-11-27 |
| 1891214607 | Jose Sanchez | Early Intervention Provider Agency | 1036 Quail Ave, Miami Springs, FL 33166 | 2017-09-12 |
| 1659893022 | Yanelis Pineiro | Behavioral Analyst | 249 South Royal Poinciana Boulevard, Apto 202, Miami Springs, FL 33166 | 2017-07-07 |
| 1720509748 | Roxana Rodriguez | Behavior Technician | 8359 Nw South River Dr, Medley, FL 33166 | 2017-06-29 |
| 1457881278 | Dairene Gonzalez Ruiz | Behavior Technician | 6501 Nw 36th Street, Suite 411, Virginia Gardens, FL 33166 | 2017-06-14 |
| 1699204198 | Oz Medical Center Inc | Physical Medicine & Rehabilitation | 3900 Nw 79 Ave., Suite 815, Miami, FL 33166 | 2017-06-08 |
| Find all providers in zip 33166 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385342 | New Family Wellness Center Inc | Clinic/Center | 8200 Nw 41st St Ste 200-98, Doral, FL 33166-6205 | 2020-10-31 |
| 1952916942 | Fenix Medical Group Inc | Clinic/Center | 10590 Nw 27th St Unit E103e104, Doral, FL 33172-2109 | 2020-09-15 |
| 1992310122 | Bright Life Medical Services Inc | Clinic/Center | 9300 Nw 25th St Ste 205, Doral, FL 33172-1507 | 2020-09-14 |
| 1063023034 | Family Mental Health Corp | Clinic/Center | 10570 Nw 27th St Ste H102, Doral, FL 33172-2105 | 2020-08-13 |
| 1508480898 | B &v Medical Group Inc | Clinic/Center | 2500 Nw 79th Ave Ste 244, Doral, FL 33122-1087 | 2020-06-02 |
| 1770532889 | Advanced Therapeutic Choice Cmhc Inc | Clinic/Center | 4723 Nw 79th Ave, Doral, FL 33166-5403 | 2006-05-08 |
| 1538773742 | Jose Nunez | Clinic/Center | 7925 Nw 12th St, Doral, FL 33126-1827 | 2020-09-04 |
| 1033723606 | Life X Medical Center Corp | Clinic/Center | 7925 Nw 12th St, Doral, FL 33126-1827 | 2020-09-01 |
| 1992931547 | Ritz Mental Health & Substance Abuse Clinic | Clinic/Center | 10200 Nw 25th St Ste 114, Doral, FL 33172-5919 | 2009-06-09 |
| 1699944892 | Mcg Behavioral Health Inc | Clinic/Center | 3900 Nw 79th Ave, Suite 320, Doral, FL 33166-6556 | 2008-02-21 |
| Find all providers in DORAL | ||||
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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.