Individual
MIRIAM MERCEDES PRIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FMD
Contact information
Practice address
3850 W FLAGLER ST, CORAL GABLES, FL 33134-1604
(305) 774-3400
Mailing address
6100 BLUE LAGOON DR, 400, MIAMI, FL 33126-2079
(305) 398-6100
(305) 398-6099
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758788100
—
FL
Enumeration date
06/23/2006
Last updated
06/25/2014
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