MEDICARE: M&D MENTAL HEALTH INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261Q00000X	Clinic/Center
2	261QP2000X	Physical Therapy Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

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	:	1689265753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M&D MENTAL HEALTH INC

Provider Business Mailing Address
First Line	:	7270 NW 12TH ST STE 420
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-1941
Country	:	US
Telephone Number	:	786-359-4706
Fax Number	:	786-359-4761

Provider Business Practice Location Address
First Line	:	7270 NW 12TH ST STE 420
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-1941
Country	:	US
Telephone Number	:	786-359-4706
Fax Number	:	786-359-4761

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. DANAY MUNOZ
Credential	:
Telephone Number	:	786-774-9555

Provider Enumeration Date	:	02/01/2021
Last Update Date	:	09/07/2023

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Directions to “M&D MENTAL HEALTH INC ” Practice Location

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