Provider Demographics
NPI:1376897173
Name:MACIEL, MARIA (BS)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:MACIEL
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 N 1ST ST
Mailing Address - Street 2:444
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-6337
Mailing Address - Country:US
Mailing Address - Phone:408-240-0070
Mailing Address - Fax:408-240-0077
Practice Address - Street 1:777 N 1ST ST
Practice Address - Street 2:444
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-6337
Practice Address - Country:US
Practice Address - Phone:408-240-0070
Practice Address - Fax:408-240-0077
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-31
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselor