Provider Demographics
NPI:1992514921
Name:OCHOA, MARIELA CRISTINA (NP)
Entity type:Individual
Prefix:MRS
First Name:MARIELA
Middle Name:CRISTINA
Last Name:OCHOA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771 NW 154TH AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-1866
Mailing Address - Country:US
Mailing Address - Phone:786-271-8990
Mailing Address - Fax:
Practice Address - Street 1:771 NW 154TH AVE
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1866
Practice Address - Country:US
Practice Address - Phone:786-271-8990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF08231206363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily