# MARIANELA PUERTO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447956974
- **Gender:** F
- **Credential:** CBHCM.0104832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | 0104832 | FL | Yes |

## Other

- **Enumeration date:** 02/06/2023
- **Last updated:** 02/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0104832 | CBHCM | FL |