Healthcare Provider Details

I. General information

NPI: 1750202941
Provider Name (Legal Business Name): GABRIELA OUBEL SANTISTEBAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 PONCE DE LEON BLVD STE 307
CORAL GABLES FL
33134-2070
US

IV. Provider business mailing address

8251 NW 8TH ST APT 504
MIAMI FL
33126-3947
US

V. Phone/Fax

Practice location:
  • Phone: 305-952-3247
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number26542459
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: