Provider Demographics
NPI:1689488199
Name:DE ARMAS GOMEZ, MARIA KARLA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:KARLA
Last Name:DE ARMAS GOMEZ
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 1:2505 W 76TH ST APT 112
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5677
Mailing Address - Country:US
Mailing Address - Phone:305-218-2964
Mailing Address - Fax:
Practice Address - Street 1:4176 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4158
Practice Address - Country:US
Practice Address - Phone:305-804-3478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician