Healthcare Provider Details

I. General information

NPI: 1407791049
Provider Name (Legal Business Name): NAIVIS GIL BORGES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3181 W HALLANDELE BECH BLVD APTO 106
HALLANDELE BECH FL
33009-5102
US

IV. Provider business mailing address

3181 W HALLANDELE BECH BLVD APTO 106
HALLANDELE BECH FL
33009-5102
US

V. Phone/Fax

Practice location:
  • Phone: 754-292-7904
  • Fax:
Mailing address:
  • Phone: 754-292-7904
  • 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: