Healthcare Provider Details

I. General information

NPI: 1245150770
Provider Name (Legal Business Name): DILEYMI DE LA CARIDAD MASIP VAZQUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14730 SW 264TH ST APT 204
PRINCETON FL
33032-7319
US

IV. Provider business mailing address

14730 SW 264TH ST APT 204
PRINCETON FL
33032-7319
US

V. Phone/Fax

Practice location:
  • Phone: 954-914-5977
  • Fax:
Mailing address:
  • Phone: 954-914-5977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-545279
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: