Provider Demographics
NPI:1538953492
Name:MUNDER TORRES, LIANET
Entity type:Individual
Prefix:
First Name:LIANET
Middle Name:
Last Name:MUNDER TORRES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15440 SW 74TH CIRCLE CT APT 602
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3351
Mailing Address - Country:US
Mailing Address - Phone:786-933-0081
Mailing Address - Fax:
Practice Address - Street 1:13301 SW 132ND AVE UNIT 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6190
Practice Address - Country:US
Practice Address - Phone:305-509-5537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician