Perez Rodriguez, Miriam Liliana

Perez Rodriguez, Miriam Liliana is an sole proprietor health care provider with primary practice located at 6405 Nw 36Th St Ste 100 , Virginia Gardens FL 33166-6977. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Perez Rodriguez, Miriam Liliana can be contacted via phone (786) 953-8500.

Contact Information

Primary practice address
6405 Nw 36Th St Ste 100 Virginia Gardens FL 33166-6977
Phone: (786) 953-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 20-116958 Florida

Profile Details

NPI number 1821751553
LBN Legal business name Perez Rodriguez, Miriam Liliana
Credentials BEHAVIOR THERAPY
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2021
Last updated Oct 19th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821751553 NPPES
Florida MEDICAID 103337400

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