MARLISIS LICEA MD NPI 1679096580

NPI Information

NPI: 1679096580
Provider Name: MARLISIS LICEA, MD
Classification: Technician - 3747P1801X
Entity Type: Individual

Specialization: Personal Care Attendant

Address:
10985 SW 107TH ST APT 202
MIAMI, FL
ZIP 33176
Phone: (786) 560-5824
Get Directions

Marlisis Licea, MD is a personal care attendant technician in Miami, FL. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards Marlisis Licea, MD NPI is 1679096580. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10985 SW 107TH ST APT 202
MIAMI, FL
ZIP 33176-344
Phone: (786) 560-5824
Fax: (786) 560-5824

The enumeration date for this NPI number is 7/23/2017 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3747P1801X	Technician	Personal Care Attendant	79776	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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