Provider Demographics
NPI:1669726592
Name:DE LA HOZ, MARIA CARMEN (MSW)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CARMEN
Last Name:DE LA HOZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6365 TAFT ST
Mailing Address - Street 2:SUITE 2002
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-5952
Mailing Address - Country:US
Mailing Address - Phone:305-796-7194
Mailing Address - Fax:
Practice Address - Street 1:6365 TAFT ST
Practice Address - Street 2:SUITE 2002
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-5952
Practice Address - Country:US
Practice Address - Phone:305-796-7194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-30
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker