Provider Demographics
NPI:1306422209
Name:MENTAL HARMONY CORP
Entity type:Organization
Organization Name:MENTAL HARMONY CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ ALEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-452-0978
Mailing Address - Street 1:1490 W 49TH PL STE 507
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3190
Mailing Address - Country:US
Mailing Address - Phone:786-452-0978
Mailing Address - Fax:786-452-0960
Practice Address - Street 1:1490 W 49TH PL STE 507
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3190
Practice Address - Country:US
Practice Address - Phone:786-452-0978
Practice Address - Fax:786-452-0960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLLICENSEOtherME116959