Provider Demographics
NPI:1154588218
Name:MIRABAL, NOEL (HS)
Entity type:Individual
Prefix:MR
First Name:NOEL
Middle Name:
Last Name:MIRABAL
Suffix:
Gender:M
Credentials:HS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1084 SE 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33035-2025
Mailing Address - Country:US
Mailing Address - Phone:305-283-4254
Mailing Address - Fax:
Practice Address - Street 1:1084 SE 13TH AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035-2025
Practice Address - Country:US
Practice Address - Phone:305-283-4254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other