MEDICARE: OPTIMUM MENTAL HEALTH SOLUTIONS INC

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	251B00000X	Case Management Agency

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	:	1255948949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMUM MENTAL HEALTH SOLUTIONS INC

Provider Business Mailing Address
First Line	:	11272 SW 137TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4203
Country	:	US
Telephone Number	:	786-424-1584
Fax Number	:	786-478-6227

Provider Business Practice Location Address
First Line	:	11272 SW 137TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4203
Country	:	US
Telephone Number	:	786-344-3562
Fax Number	:	786-678-6227

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SANDRA RUA
Credential	:	AUTONOMOUS APRN
Telephone Number	:	786-344-3562

Provider Enumeration Date	:	09/26/2020
Last Update Date	:	09/03/2025

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Directions to “OPTIMUM MENTAL HEALTH SOLUTIONS INC ” Practice Location

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