Provider Demographics
NPI:1598566267
Name:MESTRE CARDENOSA, MAYRAM ARLENES
Entity type:Individual
Prefix:
First Name:MAYRAM ARLENES
Middle Name:
Last Name:MESTRE CARDENOSA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13850 SW 71ST LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-2153
Mailing Address - Country:US
Mailing Address - Phone:786-390-8829
Mailing Address - Fax:
Practice Address - Street 1:13850 SW 71ST LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-2153
Practice Address - Country:US
Practice Address - Phone:786-390-8829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician