MEDICARE: LD COMMUNITY MENTAL HEALTH CORP

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

General Provider Information

NPI Number	:	1831711175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LD COMMUNITY MENTAL HEALTH CORP

Provider Business Mailing Address
First Line	:	2036 SW 1ST ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-1603
Country	:	US
Telephone Number	:	786-570-0264
Fax Number	:

Provider Business Practice Location Address
First Line	:	2036 SW 1ST ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-1603
Country	:	US
Telephone Number	:	786-570-0264
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LISANDRA DIAZ RODRIGUEZ
Credential	:
Telephone Number	:	786-570-0264

Provider Enumeration Date	:	05/09/2020
Last Update Date	:	05/09/2020

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1053406090 — MEGA MEDICAL CENTER INC
Practice Location Address:

2020 SW 1ST ST , SUITE 100
MIAMI, FL
33135-1603

Practice Phone: 305-644-3092
Practice Fax:

1356575955 — NEW WORLD MEDICAL CHOICE INC
Practice Location Address:

2036 SW 1ST STREET
MIAMI, FL
33135-1603

Practice Phone: 305-541-0997
Practice Fax: 305-631-1971

1336526664 — NEW WORLD MEDICAL & THERAPY CENTER INC
Practice Location Address:

2020 SW 1ST ST STE 100
MIAMI, FL
33135-1603

Practice Phone: 305-541-0109
Practice Fax: 786-657-2804

1588234686 — CESAR TADEO LOPEZ CRNA
Practice Location Address:

1155 BRICKELL BAY DR APT 1603
MIAMI, FL
33131-3203

Practice Phone: 305-431-9150
Practice Fax:

1447219738 — CAMILLUS HOUSE, INC.
Practice Location Address:

1603 NW 7TH AVE
MIAMI, FL
33136

Practice Phone: 305-374-1065
Practice Fax: 305-533-2917

Directions to “LD COMMUNITY MENTAL HEALTH CORP ” 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.