MAINEVIS BARBARA DIAZ PONTUONDO

MIAMI, FL
NPI1841711652
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11010172)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2017-06-30
Last Update Date2021-02-25
Business Address
MAINEVIS BARBARA DIAZ PONTUONDO
14710 SW 110TH TER
MIAMI, FL 33196-3305
Phone number: 786-395-7153
Mailing Address
MAINEVIS BARBARA DIAZ PONTUONDO
2100 W 76TH ST STE 411
HIALEAH, FL 33016-5504
Phone number: 786-655-9992