Provider Demographics
NPI:1881406528
Name:MIR CALCINES, MABEL
Entity type:Individual
Prefix:
First Name:MABEL
Middle Name:
Last Name:MIR CALCINES
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 1:333 S ROYAL POINCIANA BLVD APT 411
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6161
Mailing Address - Country:US
Mailing Address - Phone:786-378-9844
Mailing Address - Fax:
Practice Address - Street 1:333 S ROYAL POINCIANA BLVD APT 411
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-6161
Practice Address - Country:US
Practice Address - Phone:786-378-9844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician