Pitaluga, Iris
Pitaluga, Iris is an sole proprietor health care provider with primary practice located at 1390 S Dixie Hwy Ste 1107 , Coral Gables FL 33146-2936. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Pitaluga, Iris can be contacted via phone (305) 648-9344.Contact Information
Primary practice address
1390 S Dixie Hwy Ste 1107
Coral Gables FL 33146-2936
Phone: (305) 648-9344
Fax: (305) 648-9346
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | MH3991 | Florida |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH0003991 | Florida |
Profile Details
NPI number | 1164630760 |
---|---|
LBN Legal business name | Pitaluga, Iris |
Credentials | LMHC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 18th, 2007 |
Last updated | Jan 11th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164630760 | NPPES |
Florida | Other | Z9976 | BLUE CROSS BLUE SHIELD |
Florida | Other | MH 0003991 | BLUE CROSS BLUE SHIELD |
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