Healthcare Provider Details

I. General information

NPI: 1275451478
Provider Name (Legal Business Name): CLAUDIA DE LA CARIDAD PINO FRIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

14975 NW 87TH CT
MIAMI LAKES FL
33018-1342
US

IV. Provider business mailing address

14975 NW 87TH CT
MIAMI LAKES FL
33018-1342
US

V. Phone/Fax

Practice location:
  • Phone: 786-964-9663
  • Fax:
Mailing address:
  • Phone: 786-964-9663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-503900
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: