Healthcare Provider Details

I. General information

NPI: 1710898275
Provider Name (Legal Business Name): HEILIN CASTRO HERRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 SW 27TH TER APT D
FORT LAUDERDALE FL
33312-2151
US

IV. Provider business mailing address

520 SW 27TH TER APT D
FORT LAUDERDALE FL
33312-2151
US

V. Phone/Fax

Practice location:
  • Phone: 720-975-4786
  • Fax:
Mailing address:
  • Phone: 720-975-4786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: