Provider Demographics
NPI:1669872990
Name:MARRERO, EDUARDO JAVIER (LMFT)
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:JAVIER
Last Name:MARRERO
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3950 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-3721
Mailing Address - Country:US
Mailing Address - Phone:786-391-0400
Mailing Address - Fax:727-479-1248
Practice Address - Street 1:3950 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3721
Practice Address - Country:US
Practice Address - Phone:786-391-0400
Practice Address - Fax:727-479-1248
Is Sole Proprietor?:No
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2923101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMT2923OtherDEPT OF HEALTH