Provider Demographics
NPI:1679068902
Name:BARANANO CABRERA, MARIANNE DOLORES (CBHCM)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:DOLORES
Last Name:BARANANO CABRERA
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 1:9100 SW 137TH AVE APT 114
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1401
Mailing Address - Country:US
Mailing Address - Phone:305-401-7401
Mailing Address - Fax:
Practice Address - Street 1:11401 SW 40TH ST STE 211
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165
Practice Address - Country:US
Practice Address - Phone:305-603-7063
Practice Address - Fax:305-603-8705
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-28
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty