Healthcare Provider Details

I. General information

NPI: 1023930690
Provider Name (Legal Business Name): MERAKI MENTAL HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 CORAL WAY STE 205A
MIAMI FL
33145-3233
US

IV. Provider business mailing address

2828 CORAL WAY STE 205A
MIAMI FL
33145-3233
US

V. Phone/Fax

Practice location:
  • Phone: 305-988-8089
  • Fax: 305-888-6691
Mailing address:
  • Phone: 305-988-8089
  • Fax: 305-888-6691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: YEINIEL RODRIGUEZ TORRADO
Title or Position: OWNER
Credential:
Phone: 305-988-8089