Healthcare Provider Details

I. General information

NPI: 1750738852
Provider Name (Legal Business Name): GUETSY FABREGAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2016
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11890 SW 8TH ST SUITE 309
MIAMI FL
33184-1743
US

IV. Provider business mailing address

13426 SW 19TH LN
MIAMI FL
33175-1039
US

V. Phone/Fax

Practice location:
  • Phone: 305-220-6060
  • Fax: 888-247-5059
Mailing address:
  • Phone: 786-390-2558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: