Provider Demographics
NPI:1306989645
Name:DARIAS, MARIA TERESA (LMT, CLT)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:TERESA
Last Name:DARIAS
Suffix:
Gender:F
Credentials:LMT, CLT
Other - Prefix:MRS
Other - First Name:MARIA
Other - Middle Name:TERESA
Other - Last Name:ANDREU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT, CLT
Mailing Address - Street 1:6447 MIAMI LAKES DR E STE 210E
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2765
Mailing Address - Country:US
Mailing Address - Phone:305-989-7369
Mailing Address - Fax:305-362-0002
Practice Address - Street 1:6447 MIAMI LAKES DR E STE 210E
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2765
Practice Address - Country:US
Practice Address - Phone:305-989-7369
Practice Address - Fax:305-362-0002
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA39133225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist