MEDICARE: HORIZON MENTAL WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043185572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON MENTAL WELLNESS

Provider Business Mailing Address
First Line	:	8330 NW 7TH ST APT 140
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3928
Country	:	US
Telephone Number	:	786-833-6125
Fax Number	:	786-758-5026

Provider Business Practice Location Address
First Line	:	8330 NW 7TH ST APT 140
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3928
Country	:	US
Telephone Number	:	786-833-6125
Fax Number	:	786-758-5026

Authorized Official
Title or Position	:	ARNP, PMHNP
Name	:	RUDY RODRIGUEZ EZCURDIA
Credential	:	ARNP
Telephone Number	:	786-833-6125

Provider Enumeration Date	:	10/06/2025
Last Update Date	:	03/27/2026

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Directions to “HORIZON MENTAL WELLNESS ” Practice Location

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