Healthcare Provider Details

I. General information

NPI: 1780521823
Provider Name (Legal Business Name): ELIM PSYCHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1738 SW 57TH AVE # 454
MIAMI FL
33155-2137
US

IV. Provider business mailing address

1738 SW 57TH AVE # 454
MIAMI FL
33155-2137
US

V. Phone/Fax

Practice location:
  • Phone: 786-463-5592
  • Fax: 786-705-6562
Mailing address:
  • Phone: 786-463-5592
  • Fax: 786-705-6562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: IRASEMA MARRERO-GUERRA
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 786-800-4147