Healthcare Provider Details

I. General information

NPI: 1477464543
Provider Name (Legal Business Name): BIANCA RIO BRANCO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 NW 27TH ST
DORAL FL
33122-1902
US

IV. Provider business mailing address

9735 NW 52ND ST APT 220
DORAL FL
33178-2010
US

V. Phone/Fax

Practice location:
  • Phone: 305-390-1027
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI9050
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: