Healthcare Provider Details

I. General information

NPI: 1295032712
Provider Name (Legal Business Name): MARIA CERVANTES MOT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2011
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8415 NW 7TH ST
MIAMI FL
33126-3801
US

IV. Provider business mailing address

8415 NW 7TH ST
MIAMI FL
33126-3801
US

V. Phone/Fax

Practice location:
  • Phone: 786-372-1824
  • Fax:
Mailing address:
  • Phone: 786-372-1824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT 14350
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: