MEDICARE: GREEN CROSS HEALTH SYSTEMS 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1598783508
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREEN CROSS HEALTH SYSTEMS INC

Provider Business Mailing Address
First Line	:	2645 SW 37TH AVE
Second Line	:	SUITE 601
City	:	MIAMI
State	:	FL
Zip	:	33133-2754
Country	:	US
Telephone Number	:	305-442-0633
Fax Number	:	305-442-9537

Provider Business Practice Location Address
First Line	:	5617 NW 7TH ST
Second Line	:	SUITE 1501
City	:	MIAMI
State	:	FL
Zip	:	33126-3216
Country	:	US
Telephone Number	:	305-266-3880
Fax Number	:	305-266-5375

Authorized Official
Title or Position	:	CEO/M.D.
Name	:	DR. MIGUEL ANGEL NUNEZ JR.
Credential	:	M.D.
Telephone Number	:	305-442-0633

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	12/29/2009

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Directions to “GREEN CROSS HEALTH SYSTEMS INC ” Practice Location

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