Provider Demographics
NPI:1760373070
Name:DEL SOL ALONSO, MABEL (ISW)
Entity type:Individual
Prefix:
First Name:MABEL
Middle Name:
Last Name:DEL SOL ALONSO
Suffix:
Gender:F
Credentials:ISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11012 SW 162ND TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-2845
Mailing Address - Country:US
Mailing Address - Phone:786-599-5897
Mailing Address - Fax:
Practice Address - Street 1:15600 NW 67TH AVE STE 204
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2175
Practice Address - Country:US
Practice Address - Phone:786-546-9068
Practice Address - Fax:786-536-9014
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW211151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical