Provider Demographics
NPI:1629535927
Name:OROPESA, DIAMYLIS
Entity Type:Individual
Prefix:MRS
First Name:DIAMYLIS
Middle Name:
Last Name:OROPESA
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:DIAMYLIS
Other - Middle Name:
Other - Last Name:OROPESA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3336 SW 151ST CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-3977
Mailing Address - Country:US
Mailing Address - Phone:305-967-0816
Mailing Address - Fax:
Practice Address - Street 1:3336 SW 151ST CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-3977
Practice Address - Country:US
Practice Address - Phone:305-967-0816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-23
Last Update Date:2019-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician