Provider Demographics
NPI:1164810438
Name:PORRASPITA, MIRELDYS (BA)
Entity Type:Individual
Prefix:MS
First Name:MIRELDYS
Middle Name:
Last Name:PORRASPITA
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 SE 5TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-5095
Mailing Address - Country:US
Mailing Address - Phone:786-266-8585
Mailing Address - Fax:305-480-7892
Practice Address - Street 1:13780 SW 26TH ST
Practice Address - Street 2:SUIT 107
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6302
Practice Address - Country:US
Practice Address - Phone:305-480-7939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health