Provider Demographics
NPI:1013721711
Name:FERREYRA, MILAGROS
Entity type:Individual
Prefix:MRS
First Name:MILAGROS
Middle Name:
Last Name:FERREYRA
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 1:3822 TILBOR CIR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33916-8036
Mailing Address - Country:US
Mailing Address - Phone:561-231-3680
Mailing Address - Fax:
Practice Address - Street 1:3822 TILBOR CIR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33916-8036
Practice Address - Country:US
Practice Address - Phone:561-231-3680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator