Individual provider · Type 1 NPI

Mayra Liset Alonso, MD

Mental Health Counselor · Port St. Lucie, FL

NPI number 1689255846 Active

Practice location

518 SW Prima Vista Blvd
Port St. Lucie, FL 34983-8734

Call (772) 873-8811 Map

Fax (772) 873-8800

Mailing address

15131 SW 138th Ter
Miami, FL 33196-5627

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689255846

Mayra Liset Alonso, MD's National Provider Identifier is 1689255846, issued on Apr 19, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port St. Lucie, FL. The record was last updated on Apr 19, 2021.