Provider Demographics
NPI:1831921550
Name:CARDENAS, MARGARETH BIBIANA
Entity type:Individual
Prefix:MRS
First Name:MARGARETH
Middle Name:BIBIANA
Last Name:CARDENAS
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 1:8057 NW 155TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5874
Mailing Address - Country:US
Mailing Address - Phone:305-698-2200
Mailing Address - Fax:888-698-3881
Practice Address - Street 1:2163 W 73RD ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5551
Practice Address - Country:US
Practice Address - Phone:305-825-3872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW20668104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker