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Luis Antonio Otero Desantiago III
Mental Health Counselor in Miami Lakes, Florida
NPI 1326605908

Luis Antonio Otero Desantiago III is a Mental Health Counselor based in Miami Lakes, FL and is specialized in Mental Health. Luis Antonio Otero Desantiago III practices in Miami Lakes, FL. The NPI Number for Luis Antonio Otero Desantiago III is 1326605908 and holds a License No. MH16655 (Florida).

The current practice location address for Luis Antonio Otero Desantiago III is 14411 Commerce Way Ste 350, Miami Lakes, FL and can be reached out via phone at 305-530-8119.

Location: 14411 Commerce Way Ste 350, Miami Lakes, FL, 33016-1600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326605908
Provider Name
Luis Antonio Otero Desantiago III
Credential
Provider Entity Type
Individual
Gender
Male
Address
14411 Commerce Way Ste 350, Miami Lakes, FL, 33016-1600
Phone Number
305-530-8119
Fax Number
Provider Enumeration Date
05/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14411 Commerce Way Ste 350
City
Miami Lakes
State
Florida
Zip
33016-1600
Phone Number
305-530-8119
Fax Number
person
Provider Business Mailing Address Details
Address
14411 Commerce Way Ste 350
City
Miami Lakes
State
Florida
Zip
33016-1600
Phone Number
305-530-8119
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH16655 (Florida)
Definition
Definition to come...
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