MEDICARE: MAGDALY CINTRON MARIANI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA9312	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164720983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGDALY CINTRON MARIANI

Provider Business Mailing Address
First Line	:	6073 NW 167TH ST
Second Line	:	SUITE C13
City	:	HIALEAH
State	:	FL
Zip	:	33015-4336
Country	:	US
Telephone Number	:	305-362-5328
Fax Number	:	305-362-3303

Provider Business Practice Location Address
First Line	:	6073 NW 167TH ST
Second Line	:	SUITE C13
City	:	HIALEAH
State	:	FL
Zip	:	33015-4336
Country	:	US
Telephone Number	:	305-362-5328
Fax Number	:	305-362-3303

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2011
Last Update Date	:	03/02/2011

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Directions to “ MAGDALY CINTRON MARIANI ” Practice Location

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