Healthcare Provider Details

I. General information

NPI: 1619849056
Provider Name (Legal Business Name): PEDRO JOEL NAVARRO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 SW 148TH CT
MIAMI FL
33193-1142
US

IV. Provider business mailing address

7300 SW 148TH CT
MIAMI FL
33193-1142
US

V. Phone/Fax

Practice location:
  • Phone: 786-285-5459
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberMH27789
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH27789
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberMH27789
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: