Consalud Community Mental Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CONSALUD COMMUNITY MENTAL HEALTH LLC

Practice address

4160 W 16TH Ave Ste 503
Hialeah, FL 33012-5884

Phone

(786) 278-1882

NPI assigned

Jan 25, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carlos Hurtado

Title

Owner

Phone

(786) 278-1882

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos Hurtado Infante, M.D.

  • Psychiatry Physician
  • Hialeah, FL
  • NPI 1326357286
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1912597840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 W 16TH AVE STE 503",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 W 16TH AVE STE 503",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125884",
            "telephone_number": "786-278-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSALUD COMMUNITY MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "HURTADO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-278-1882"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wardy Maria Conde, LMHC
• Zoila Conde, R.PH
• Alis Leydis Condis, COTA
• Ebony Coney, PSY.D.
• Shahala Patrice Conner
• Consalud Medical Center LLC
• Rene Miguel Consuegra Diaz, DDS
• Yasnay Consuegra Fonte
• Consuegra Home Health Care LLC
• Lizkeila Consuegra Rodriguez, RBT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.