Provider Demographics
NPI:1588260335
Name:NEW FOCUS MENTAL HEALTH SOLUTION
Entity type:Organization
Organization Name:NEW FOCUS MENTAL HEALTH SOLUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAURICIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTI PADRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-401-7327
Mailing Address - Street 1:4180 SW 74TH CT STE 204
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4443
Mailing Address - Country:US
Mailing Address - Phone:786-401-7327
Mailing Address - Fax:
Practice Address - Street 1:4180 SW 74TH CT STE 204
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4443
Practice Address - Country:US
Practice Address - Phone:786-401-7327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW FOCUS MENTAL HEALTH SOLUTION, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103829100Medicaid