Healthcare Provider Details
I. General information
NPI: 1477404358
Provider Name (Legal Business Name): MAMALACTEA CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/05/2026
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1550 MADRUGA AVE STE 323
CORAL GABLES FL
33146-3085
US
IV. Provider business mailing address
1550 MADRUGA AVE STE 323
CORAL GABLES FL
33146-3085
US
V. Phone/Fax
- Phone: 786-651-6673
- Fax:
- Phone: 786-651-6673
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174N00000X |
| Taxonomy | Lactation Consultant (Non-RN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARIANA
BIGIO ROSEMBERG
Title or Position: OWNER
Credential:
Phone: 786-651-6673