| Maryan Beauty Llc | |
|
17811 Sw 134th Ct Miami FL 33177-7136 | |
| (305) 562-0802 | |
| Not Available |
| Full Name | Maryan Beauty Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17811 Sw 134th Ct, Miami, Florida |
| Authorized Official Name and Position | Maria U Hernandez Moran (PRESIDENT) |
| Authorized Official Contact | 3055620802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryan Beauty Llc 17811 Sw 134th Ct Miami FL 33177-7136 Ph: (305) 562-0802 | Maryan Beauty Llc 17811 Sw 134th Ct Miami FL 33177-7136 Ph: (305) 562-0802 |
| NPI Number | 1922791128 |
|---|---|
| Provider Enumeration Date | 06/01/2023 |
| Last Update Date | 06/01/2023 |
| Medicare PECOS PAC ID | 9234583162 |
|---|---|
| Medicare Enrollment ID | O20230927000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922791128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Maria U Hernandez Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467087577 PECOS PAC ID: 8325478035 Enrollment ID: I20200421001701 |
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