Diez Licea, Elizabeth Maria

Diez Licea, Elizabeth Maria is an sole proprietor health care provider with primary practice located at 10300 Sw 216Th St , Cutler Bay FL 33190-1003. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Diez Licea, Elizabeth Maria can be contacted via phone (305) 253-5100.

Contact Information

Primary practice address
10300 Sw 216Th St Cutler Bay FL 33190-1003
Phone: (305) 253-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW22055 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW22055 Florida

Profile Details

NPI number 1407374192
LBN Legal business name Diez Licea, Elizabeth Maria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2017
Last updated Aug 6th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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