Individual
DR. MARA LISSETH CANALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5505 NW 7TH ST APT W214, MIAMI, FL 33126-3207
(786) 461-9392
Mailing address
5505 NW 7TH ST APT W214, MIAMI, FL 33126-3207
(786) 461-9392
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
024168
PR
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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