Individual
HILDA V MARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4315 NW 198TH ST, MIAMI GARDENS, FL 33055-1831
(305) 343-5663
Mailing address
18520 NW 67TH AVE # 336, HIALEAH, FL 33015-3302
(305) 343-5663
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
CGC1525611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101198800
—
FL
Enumeration date
03/12/2019
Last updated
03/12/2019
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