Healthcare Provider Details

I. General information

NPI: 1932918109
Provider Name (Legal Business Name): MAYLIN HURTADO OSPINA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

479 NE 30TH ST APT 811
MIAMI FL
33137-7384
US

IV. Provider business mailing address

479 NE 30TH ST APT 811
MIAMI FL
33137-7384
US

V. Phone/Fax

Practice location:
  • Phone: 305-767-5676
  • Fax:
Mailing address:
  • Phone: 305-767-5676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: