Provider Demographics
NPI:1598307167
Name:DIOCARES, MARIELA
Entity Type:Individual
Prefix:DR
First Name:MARIELA
Middle Name:
Last Name:DIOCARES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7979 MINNESOTA RD APT F
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-4316
Mailing Address - Country:US
Mailing Address - Phone:951-522-1413
Mailing Address - Fax:
Practice Address - Street 1:7979 MINNESOTA RD APT F
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-4316
Practice Address - Country:US
Practice Address - Phone:951-522-1413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health