Provider Demographics
NPI:1679388318
Name:MORALES SANTANA, MARIANNY
Entity type:Individual
Prefix:MRS
First Name:MARIANNY
Middle Name:
Last Name:MORALES SANTANA
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 1:6001 W FLAGLER ST APT 504
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-3211
Mailing Address - Country:US
Mailing Address - Phone:786-849-8717
Mailing Address - Fax:
Practice Address - Street 1:6001 W FLAGLER ST APT 504
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-3211
Practice Address - Country:US
Practice Address - Phone:786-849-8717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician