Healthcare Provider Details

I. General information

NPI: 1356987242
Provider Name (Legal Business Name): B.S.C. CARE PROVIDER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2019
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9360 FONTAINEBLEAU BLVD APT D106
MIAMI FL
33172-5606
US

IV. Provider business mailing address

9360 FONTAINEBLEAU BLVD APT D106
MIAMI FL
33172-5606
US

V. Phone/Fax

Practice location:
  • Phone: 305-562-6727
  • Fax:
Mailing address:
  • Phone: 305-562-6727
  • Fax: 305-402-8448

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
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BARBARO RAIMIS SAROSA CEPERO
Title or Position: OWNER/CEO
Credential: APRN,FNP-C,PMHNP-BC.
Phone: 305-562-6727