Provider Demographics
NPI:1164296406
Name:FERRER RUANO, FRANK MIGUEL
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:MIGUEL
Last Name:FERRER RUANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16931 SW 152ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-1739
Mailing Address - Country:US
Mailing Address - Phone:786-912-7179
Mailing Address - Fax:
Practice Address - Street 1:16931 SW 152ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33187-1739
Practice Address - Country:US
Practice Address - Phone:786-912-7179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician