Healthcare Provider Details

I. General information

NPI: 1407404593
Provider Name (Legal Business Name): MARIA-PAULA HERRERA MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2019
Last Update Date: 09/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10550 NW 77TH CT FL 2
HIALEAH GARDENS FL
33016-7084
US

IV. Provider business mailing address

5937 SW 42ND TER
MIAMI FL
33155-5207
US

V. Phone/Fax

Practice location:
  • Phone: 305-825-4320
  • Fax: 305-825-8117
Mailing address:
  • Phone: 305-815-3997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: