Healthcare Provider Details

I. General information

NPI: 1649029638
Provider Name (Legal Business Name): MINDS MATTER MENTAL HEALTH SERVICES CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2024
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9380 SW 150TH ST STE 260
MIAMI FL
33176-7947
US

IV. Provider business mailing address

9380 SW 150TH ST STE 260
MIAMI FL
33176-7947
US

V. Phone/Fax

Practice location:
  • Phone: 786-968-4172
  • Fax: 213-260-6213
Mailing address:
  • Phone: 786-968-4172
  • Fax: 213-260-6213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALBERTO OYAGA
Title or Position: OWNER
Credential: DNP
Phone: 305-590-3984