Provider Demographics
NPI:1215827860
Name:SANTOS PINEDA, MARIELA
Entity type:Individual
Prefix:
First Name:MARIELA
Middle Name:
Last Name:SANTOS PINEDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 SW 84TH AVE APT 208
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4103
Mailing Address - Country:US
Mailing Address - Phone:305-984-3608
Mailing Address - Fax:
Practice Address - Street 1:900 SW 84TH AVE APT 208
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4103
Practice Address - Country:US
Practice Address - Phone:305-984-3608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide