Provider Demographics
NPI:1972357523
Name:MENTAL LIFE SOLUTIONS INC
Entity type:Organization
Organization Name:MENTAL LIFE SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:REINALDO
Authorized Official - Last Name:CINTRA MARIN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-523-2413
Mailing Address - Street 1:10724 SW 173RD TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-4156
Mailing Address - Country:US
Mailing Address - Phone:786-478-7576
Mailing Address - Fax:305-786-3996
Practice Address - Street 1:15715 S DIXIE HWY STE 331&332
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-1800
Practice Address - Country:US
Practice Address - Phone:786-478-7546
Practice Address - Fax:786-622-2421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2025-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty