Provider Demographics
NPI:1427255041
Name:FIRPI, MIGUEL A (PHD)
Entity type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:A
Last Name:FIRPI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 VENERA AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3032
Mailing Address - Country:US
Mailing Address - Phone:305-662-1154
Mailing Address - Fax:305-662-3966
Practice Address - Street 1:1501 VENERA AVE STE 230
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3032
Practice Address - Country:US
Practice Address - Phone:305-662-1154
Practice Address - Fax:305-662-3966
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 4916103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent