Organization
COMPASSIONATE TRAUMA CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ANTONIO OTERO DESANTIAGO III LMHC (PRESIDENT)
(954) 850-1859
Entity
Organization
Contact information
Practice address
14411 COMMERCE WAY STE 350, MIAMI LAKES, FL 33016-1600
(305) 530-8119
Mailing address
9040 NW 26TH PL, SUNRISE, FL 33322-2827
(954) 850-1859
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
06/11/2019
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