Healthcare Provider Details

I. General information

NPI: 1538063185
Provider Name (Legal Business Name): MARIANA MARRON CAA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 N KENDALL DR
MIAMI FL
33176-2197
US

IV. Provider business mailing address

7527 SW 164TH CT
MIAMI FL
33193-3740
US

V. Phone/Fax

Practice location:
  • Phone: 786-398-0958
  • Fax:
Mailing address:
  • Phone: 786-398-0958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: