MEDICARE: J B MENTAL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508441924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J B MENTAL HEALTH LLC

Provider Business Mailing Address
First Line	:	9580 SW 40TH ST STE E
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4065
Country	:	US
Telephone Number	:	786-849-3041
Fax Number	:

Provider Business Practice Location Address
First Line	:	9580 SW 40TH ST STE E
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4065
Country	:	US
Telephone Number	:	786-849-3041
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JORGE LUIS IGLESIAS SOTO
Credential	:
Telephone Number	:	786-849-3041

Provider Enumeration Date	:	03/17/2021
Last Update Date	:	12/08/2025

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Directions to “J B MENTAL HEALTH LLC ” Practice Location

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