Provider Demographics
NPI:1912559204
Name:PRAT MONTESINO, NORIELYS
Entity Type:Individual
Prefix:
First Name:NORIELYS
Middle Name:
Last Name:PRAT MONTESINO
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 1:5370 NW 188TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-2368
Mailing Address - Country:US
Mailing Address - Phone:786-564-5885
Mailing Address - Fax:
Practice Address - Street 1:1555 W 44TH PL APT 115
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7114
Practice Address - Country:US
Practice Address - Phone:786-564-5885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-16
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician