Provider Demographics
NPI:1477133478
Name:NAPOLES LOPEZ, MAILY (CBHCM)
Entity Type:Individual
Prefix:
First Name:MAILY
Middle Name:
Last Name:NAPOLES LOPEZ
Suffix:
Gender:F
Credentials:CBHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6951 SW 158TH PASS
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3614
Mailing Address - Country:US
Mailing Address - Phone:206-412-1635
Mailing Address - Fax:
Practice Address - Street 1:6951 SW 158TH PASS
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-3614
Practice Address - Country:US
Practice Address - Phone:206-412-1635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator