Provider Information for 1538173208
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
MAYRA A DOMINGUEZ L.C.S.W.
Sex: Female
NPI: 1538173208
Last Updated: 2008-10-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1538173208 | ||||||||
| Enumeration Date | 2006-07-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8261 NW 8 ST APT 125 MIAMI, FL 33126-3964 United States Phone: 786-282-7886 | Fax: | ||||||||
| Primary Practice Address | 8261 NW 8 ST APT 125 MIAMI, FL 33126-3964 United States Phone: 786-282-7886 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|