Provider Demographics
NPI:1912872581
Name:GIRALDO, MARIA SALOME SALOME
Entity type:Individual
Prefix:
First Name:MARIA SALOME
Middle Name:SALOME
Last Name:GIRALDO
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 1:15655 SW 74TH CIRCLE DR APT 16
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3379
Mailing Address - Country:US
Mailing Address - Phone:786-260-1841
Mailing Address - Fax:
Practice Address - Street 1:15655 SW 74TH CIRCLE DR APT 16
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-3379
Practice Address - Country:US
Practice Address - Phone:786-260-1841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician