MARLISIS LICEA I MD
NPI 1679096580
Technician - Personal Care Attendant in Miami, FL

Active since July 23, 2017
10985 SW 107TH ST APT 202, MIAMI, FL 33176(786) 560-5824(786) 560-5824 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 23, 2017 (3 updates tracked since 2017).

About Marlisis Licea I Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLISIS LICEA I MD (NPI 1679096580) is an individual personal care attendant in Miami, Florida, licensed in Florida (79776) and active in the NPI registry since July 2017. She maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1679096580
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameMARLISIS LICEA ICredential: MD
Location Address10985 SW 107TH ST APT 202Miami, FL 33176-3344
Mailing Address10985 Sw 107th St Apt 202Miami, FL 33176-3344 · (305) 917-5986
Fax(786) 560-5824
Sole ProprietorYes
Enumeration DateJuly 23, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1679096580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
License Licensed in FL · 79776
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
10985 SW 107TH ST APT 202, Miami, FL 33176

Secondary Practice Location 1

Location 110985 SW 107th St Apt 202Miami, FL 33176-3344 · Phone (305) 917-5986

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlisis Licea's NPI number?

The NPI number for Marlisis Licea is 1679096580. It was assigned to this individual provider in the NPPES registry on July 23, 2017.

Where is Marlisis Licea located?

Marlisis Licea practices at 10985 SW 107th St Apt 202, Miami, FL 33176. The listed phone number is (786) 560-5824.

What is Marlisis Licea's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Marlisis Licea was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.