MEDICARE: MIND AND SOUL MEDICAL THERAPY 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	251S00000X	Community/Behavioral Health 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	:	1346830932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIND AND SOUL MEDICAL THERAPY INC.

Provider Business Mailing Address
First Line	:	7911 NW 72ND AVE STE 115
Second Line	:
City	:	MEDLEY
State	:	FL
Zip	:	33166-2221
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7911 NW 72ND AVE STE 115
Second Line	:
City	:	MEDLEY
State	:	FL
Zip	:	33166-2221
Country	:	US
Telephone Number	:	786-953-8744
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RODOLFO RUANO DIEGUEZ
Credential	:
Telephone Number	:	786-282-9730

Provider Enumeration Date	:	01/19/2021
Last Update Date	:	03/19/2021

Similar Medicare Providers

1558224675 — MOYA-PRIDA MD
Practice Location Address:

7911 NW 72ND AVE STE 111
MEDLEY, FL
33166-2221

Practice Phone: 305-888-6959
Practice Fax: 954-376-7289

1982601159 — DR. JORGE PAOLI-BRUNO M.D.
Practice Location Address:

7911 NW 72ND AVE STE 109B
MEDLEY, FL
33166-2221

Practice Phone: 305-887-1005
Practice Fax: 305-887-1092

1952712937 — DR. HANY AZCUY O.D
Practice Location Address:

7911 NW 72ND AVE STE 111
MEDLEY, FL
33166-2221

Practice Phone: 786-431-1625
Practice Fax: 786-431-1782

1407408677 — PINES HEALTH CENTER INC
Practice Location Address:

7911 NW 72ND AVE STE 111
MEDLEY, FL
33166-2221

Practice Phone: 305-888-6959
Practice Fax: 305-887-8198

1295380483 — LA ESPERANZA ADULT CARE CENTER INC
Practice Location Address:

7911 NW 72ND AVE STE 108
MEDLEY, FL
33166-2221

Practice Phone: 786-547-5134
Practice Fax:

1245089101 — SOUTH FLORIDA RESEARCH ORGANIZATION LLC
Practice Location Address:

7911 NW 72ND AVE STE 114
MEDLEY, FL
33166-2221

Practice Phone: 786-409-7699
Practice Fax:

Directions to “MIND AND SOUL MEDICAL THERAPY INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.