Healthcare Provider Details

I. General information

NPI: 1982515896
Provider Name (Legal Business Name): DAIMARA CARIDAD ROMANACH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11243 N KENDALL DR APT F107
MIAMI FL
33176-1142
US

IV. Provider business mailing address

11243 N KENDALL DR APT F107
MIAMI FL
33176-1142
US

V. Phone/Fax

Practice location:
  • Phone: 832-901-8630
  • Fax:
Mailing address:
  • Phone: 832-901-8630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-542171
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: