IndividualActive
Marlisis Licea, MD
NPI 1679096580 · Personal Care Attendant · Miami, FL
Provider details
- NPI number
- 1679096580
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 79776 (FL)
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10985 Sw 107th St Apt 202
Miami, FL 33176-3344
Phone: (786) 560-5824
Fax: (786) 560-5824
Street-level locationGet directions
Mailing address
10985 Sw 107th St Apt 202
Miami, FL 33176-3344
Additional practice locations (2)
- 10985 Sw 107th St Apt 202Miami, FL 33176-3344Phone: (305) 917-5986
- 10985 Sw 107th St Apt 202Miami, FL 33176-3344Phone: (786) 560-5824Fax: (786) 560-5824
Registry dates
- Enumerated
- 2017-07-23
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.