Healthcare Provider Details

I. General information

NPI: 1316894512
Provider Name (Legal Business Name): KAMILA CASAL MERINO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 SW 72ND ST STE 354
MIAMI FL
33173-3020
US

IV. Provider business mailing address

420 SW 33RD AVE
MIAMI FL
33135-2621
US

V. Phone/Fax

Practice location:
  • Phone: 305-787-2924
  • Fax: 888-859-0166
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number26-519870
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: