Healthcare Provider Details

I. General information

NPI: 1609496074
Provider Name (Legal Business Name): OSLAIDY BARRERA SANTOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2020
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9894 NW 82ND AVE APT 401
HIALEAH GARDENS FL
33016-2532
US

IV. Provider business mailing address

9894 NW 82ND AVE APT 303
HIALEAH GARDENS FL
33016-2531
US

V. Phone/Fax

Practice location:
  • Phone: 786-340-4710
  • Fax:
Mailing address:
  • Phone: 786-340-4710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: