Provider Demographics
NPI:1588482608
Name:PRIETO CABRERA, MONICA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:PRIETO CABRERA
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 1:12731 SW 136TH ST APT 3205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5289
Mailing Address - Country:US
Mailing Address - Phone:239-383-2418
Mailing Address - Fax:
Practice Address - Street 1:41 NW 13TH ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4225
Practice Address - Country:US
Practice Address - Phone:305-910-5057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-27
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician