Healthcare Provider Details

I. General information

NPI: 1619509882
Provider Name (Legal Business Name): ANNIA YAZMINA RUBIO TORRES BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2020
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18224 SW 146TH CT
MIAMI FL
33177-3339
US

IV. Provider business mailing address

18224 SW 146TH CT
MIAMI FL
33177-3339
US

V. Phone/Fax

Practice location:
  • Phone: 786-378-7777
  • Fax:
Mailing address:
  • Phone: 786-378-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-24-15048
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: