Provider Demographics
NPI:1326148875
Name:CURRAS, GLENDER DE JESUS (BS,MS)
Entity Type:Individual
Prefix:
First Name:GLENDER
Middle Name:DE JESUS
Last Name:CURRAS
Suffix:
Gender:M
Credentials:BS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8842 NW 178TH LN
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-6546
Mailing Address - Country:US
Mailing Address - Phone:786-487-3948
Mailing Address - Fax:
Practice Address - Street 1:8842 NW 178TH LN
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-6546
Practice Address - Country:US
Practice Address - Phone:786-487-3948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
FLMH 10549101YM0800X
FLMH10549103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health