Organization
COBRE BEHAVIORAL & HEALTH CLINIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELIO TREJO (PRESIDENT)
(786) 553-6726
Entity
Organization
Contact information
Practice address
306 N.W. 27TH AVE, MIAMI, FL 33125-3031
(786) 394-8888
(786) 394-8777
Mailing address
306 N.W. 27TH AVE, MIAMI, FL 33125-3031
(786) 394-8888
(786) 394-8777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH4008
FL
103G00000X
Clinical Neuropsychologist
PY5395
FL
103TC0700X
Clinical Psychologist
PY5395
FL
103TC0700X
Clinical Psychologist
PY7224
FL
163W00000X
Registered Nurse
Primary
RN3143962
FL
207Q00000X
Family Medicine Physician
ME67164
FL
2084P0800X
Psychiatry Physician
ME40304
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134151483
NPI
FL
01
—
1184639569
NPI
FL
01
—
1932135969
NPI
FL
Enumeration date
09/13/2006
Last updated
09/11/2025
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