Healthcare Provider Details

I. General information

NPI: 1033072715
Provider Name (Legal Business Name): M&M BEHAVIORAL HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 W FLAGLER ST STE 202
MIAMI FL
33144-2155
US

IV. Provider business mailing address

8100 W FLAGLER ST STE 202
MIAMI FL
33144-2155
US

V. Phone/Fax

Practice location:
  • Phone: 786-597-0695
  • Fax:
Mailing address:
  • Phone: 786-597-0695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCO R DE LA TORRE BETANCOURT
Title or Position: CFO
Credential:
Phone: 786-857-3646