# MED-PSY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932944303
- **Authorized official:** DR. VIVIAN DJ GONZALEZ-DIAZ PH.D (OWNER)
- **Authorized official phone:** (305) 984-8422

## Contact information

- **Practice address:** 3271 NW 7TH ST STE 203, MIAMI, FL 33125-4141
- **Practice address phone:** (786) 220-6902
- **Mailing address:** PO BOX 347604, CORAL GABLES, FL 33234-7604
- **Mailing address phone:** (786) 220-6902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2024
- **Last updated:** 06/27/2024