Provider Demographics
NPI:1083304646
Name:MUNERA, DIANA LORENA
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:LORENA
Last Name:MUNERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10918 NW 73RD TER
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-3748
Mailing Address - Country:US
Mailing Address - Phone:786-970-4567
Mailing Address - Fax:
Practice Address - Street 1:2455 SW 27TH AVE STE 110
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-3663
Practice Address - Country:US
Practice Address - Phone:786-497-3444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker