NPI: 1730750514 · MIAMI LAKES, FL 33014 · Community Health Clinic/Center · NPI assigned 07/02/2021
| Authorized Official | HERNANDEZ, JOSE (OWNER) |
| NPI Enumeration Date | 07/02/2021 |
Other providers sharing the same authorized official: HERNANDEZ, JOSE
| Provider | City | State | Total Paid |
|---|---|---|---|
| RIO BRAVO HEALTH SYSTEM LLC | EAGLE PASS | TX | $22.00M |
| FAMILY QUALITY HEALTH | MIAMI LAKES | FL | $760K |
| CLP VENTURES | HUMBLE | TX | $589K |
| SPEECH AND LANGUAGE THERAPY INC | MIAMI | FL | $257K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 226 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1017 | Targeted case management, each 15 minutes | 226 | 27 | $14K |