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PROMED HEALTHCARE CLINIC LLC NPI 1285298521


NPI Information

NPI: 1285298521
Provider Name: PROMED HEALTHCARE CLINIC LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 10D2166781

Address:
9380 SW 72ND ST
SUITE B240
MIAMI, FL
ZIP 33173
Phone: (605) 639-8095
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PROMED HEALTHCARE CLINIC LLC is a community behavioral health in Miami, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. PROMED HEALTHCARE CLINIC LLC NPI is 1285298521. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9380 SW 72ND ST
SUITE B240
MIAMI, FL
ZIP 33173-483
Phone: (605) 639-8095
Fax: (305) 392-0775

The provider's authorized official is Magaly Pascal Travieso .
The authorized official title is Ceo and has the following contact phone number (786) 580-1859.

The CLIA number assigned to this NPI record is 10D2166781 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2019 and was last updated on 2/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNo
2171M00000XCase Manager/Care CoordinatorNo
3261Q00000XClinic/CenterNo
4251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T612540715810OTHERFLORIDAARNP9240892

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.