Individual
MARYLIEN CASTINEIRA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHCM
Contact information
Practice address
340 W FLAGLER ST APT 1105, MIAMI, FL 33130-1592
(786) 542-4078
Mailing address
340 W FLAGLER ST APT 1105, MIAMI, FL 33130-1592
(786) 542-4078
(305) 603-8705
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CBHCM104026
FLORIDA CERTIFICATION BOARD
FL
Enumeration date
09/23/2022
Last updated
01/27/2023
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