Individual
SURIA ERRASTI RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBHCM.0105267-P
Contact information
Practice address
2760 W 63RD PL APT 104, HIALEAH, FL 33016-4312
(786) 792-1285
Mailing address
2760 W 63RD PL APT 104, HIALEAH, FL 33016-4312
(786) 792-1285
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM.0105267-P
FL
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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