Pacheco De Caceres, Mirna Carolina

Pacheco De Caceres, Mirna Carolina is an sole proprietor health care provider with primary practice located at 2100 W 76Th St Ste 411 , Hialeah FL 33016-5504. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Pacheco De Caceres, Mirna Carolina can be contacted via phone (786) 655-9992.

Contact Information

Primary practice address
2100 W 76Th St Ste 411 Hialeah FL 33016-5504
Fax:
Website:

Health care specialties

Profile Details

NPI number 1659883577
LBN Legal business name Pacheco De Caceres, Mirna Carolina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2017
Last updated Apr 15th, 2018 - about 3 years 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659883577 NPPES
Florida MEDICAID 022835800

Popular Providers