CHAIRA ZURIEL CANCEL MARQUEZ (NPI# 1568089761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568089761 |
Entity Type | Individual |
Full Name | CHAIRA ZURIEL CANCEL MARQUEZ |
Practice Address |
1071 Port Malabar Blvd Ne Ste 106 Palm Bay FL 32905-5161 |
Mailing Address |
607 S Oxalis Ave Orlando FL 32807-4714 |
Practice Telephone | 4077307983 |
Mailing Telephone | 4078447817 |
Enumeration Date | 2020-07-03 |
Last Update Date | 2020-07-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
Street Address |
1071 PORT MALABAR BLVD NE STE 106 |
City | PALM BAY |
State | FL |
Zip Code | 32905-5161 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295091346 | Rebecca Brooks | Social Worker | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2012-04-03 |
1275132680 | Angelica Maria Vargas | Counselor | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2020-10-19 |
1801408349 | Akire D Oyola | Peer Specialist | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2020-08-17 |
1992314447 | Awilda Enid Ramos | Psychologist | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2020-07-29 |
1497232573 | David Anthony Arrieta | Counselor | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2018-07-23 |
1528552569 | Cynthia Withers Crawford | Counselor | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2018-06-21 |
1922505221 | Janet Aracelly Feria | Case Manager/Care Coordinator | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2018-04-12 |
1619479011 | Donna Roberts | Case Manager/Care Coordinator | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2018-03-02 |
1902322654 | Monica Jean Amelunge | Clinic/Center | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2017-08-15 |
1326498833 | Sandra Correa | Case Manager/Care Coordinator | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2016-06-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306460928 | Lavell Woodard Jr. | Counselor | 4206 Pinewood Dr Ne, Palm Bay, FL 32905 | 2020-05-29 |
1548735699 | Aaron J Milton | Counselor | 1420 Sportsman Lane Ne, Palm Bay, FL 32905 | 2018-10-04 |
1871070417 | The Brevard Health Alliance Inc | Clinic/Center | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-26 |
1699266361 | Coastal Visioncare LLC | Optometrist | 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 | 2018-05-29 |
1184173981 | Jean Elyse Gautreaux | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 | 2016-09-22 |
1174901607 | Reginald Shannon Seecharan | Developmental Therapist | 700 James Cir Ne, Palm Bay, FL 32905 | 2015-05-17 |
1881091254 | Courtney Taft | Physical Therapy Assistant | 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 | 2014-12-01 |
1548513310 | Juda Marie Decara | Counselor | 4690 Lipscomb St Se, Suite 6c, Palm Bay, FL 32905 | 2012-10-18 |
1326308313 | Mohammad Idrees Md, P.a. | Internal Medicine | 1454 Belaire Lane N.e., Palm Bay, FL 32905 | 2012-05-23 |
1265704548 | Atm Amin Dds LLC | Dentist | 4620 Lipscomb St Ne, Suite 2, Palm Bay, FL 32905 | 2012-02-02 |
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Taxonomy Code | 103TR0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992314447 | Awilda Enid Ramos | Psychologist | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2020-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790399897 | Ana M Orozco | Psychologist | 3778 Lake Margaret Dr, Orlando, FL 32812-6616 | 2020-09-04 |
1831745512 | Charleen Diaz | Psychologist | 771 Lucaya Dr, Kissimmee, FL 34758-3279 | 2019-08-17 |
1073175170 | Lina Maria Rivera | Psychologist | 566 Calibre Crest Pkwy Apt 103, Altamonte Springs, FL 32714-3628 | 2019-06-28 |
1407347040 | Yarisel Marrero Torres | Psychologist | 3501 W Vine St Ste 278, Kissimmee, FL 34741-4673 | 2018-05-18 |
1982120325 | Mindwealth Institute LLC | Psychologist | 151 Se 3rd Ave Apt 435, Delray Beach, FL 33483-4683 | 2017-08-17 |
1124562384 | Anabel Perez Rodriguez | Psychologist | 11075 Prairie Hawk Dr, Orlando, FL 32837-8129 | 2016-12-07 |
1740633544 | Pierre Jean Duvelsaint | Psychologist | 595 W Church St, Apt. 602, Orlando, FL 32805-2285 | 2016-07-15 |
1558713578 | Leidy Johana Ortega | Psychologist | 3910 Shoreview Dr, Kissimmee, FL 34744-0002 | 2016-07-01 |
1497104483 | Patricia Prieto | Psychologist | 13584 Crystal River Dr, Orlando, FL 32828-8443 | 2016-06-09 |
1497100788 | Suinda Enid Rodriguez I | Psychologist | 2118 Florida Soapberry Blvd, Orlando, FL 32828-4869 | 2016-04-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.