Individual
MARIANELA PUERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBHCM.0104832
Contact information
Practice address
13525 SW 66TH ST, MIAMI, FL 33183-2372
(786) 413-6085
Mailing address
13525 SW 66TH ST, MIAMI, FL 33183-2372
(786) 413-6085
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0104832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104832
CBHCM
FL
Enumeration date
02/06/2023
Last updated
02/08/2023
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