Provider Demographics
NPI:1366579781
Name:BADE, MARIA ISABEL (MSW)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ISABEL
Last Name:BADE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17801 NW 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5029
Mailing Address - Country:US
Mailing Address - Phone:786-248-5300
Mailing Address - Fax:786-248-5336
Practice Address - Street 1:17801 NW 2ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-5029
Practice Address - Country:US
Practice Address - Phone:786-248-5300
Practice Address - Fax:786-248-5336
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7642962Medicaid