Provider Demographics
NPI:1902407422
Name:ARMAS, MAILEN
Entity Type:Individual
Prefix:
First Name:MAILEN
Middle Name:
Last Name:ARMAS
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 1:5106 SW 5TH TER
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1319
Mailing Address - Country:US
Mailing Address - Phone:786-637-0017
Mailing Address - Fax:
Practice Address - Street 1:5106 SW 5TH TER
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1319
Practice Address - Country:US
Practice Address - Phone:786-637-0017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician