Maria Luisa Raez
Nurse Practitioner, Psych/Mental Health in Miami, FL. Individual provider (NPI-1).
NPI number1295511368
StatusActive
Last updated in NPPESJun 10, 2024
Details
- NPI
- 1295511368
- Entity type
- Individual (NPI-1)
- Name
- Maria Luisa Raez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2023
- Certification date
- Jun 10, 2024
- Last updated
- Jun 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 9520944 | FL | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
14880 Sw 166th StMiami, FL 33187-1422
Phone 786-423-4032
Mailing address
14880 Sw 166th StMiami, FL 33187-1422
Phone 786-423-4032
Other practice locations
10440 Nw 37th Ter
Doral, FL 33178-4200
Doral, FL 33178-4200
Phone 305-603-7139 · Fax 305-676-5776
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