Healthcare Provider Details

I. General information

NPI: 1215449624
Provider Name (Legal Business Name): CLAUDIA BORRERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2017
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 MANGO GROVE CT
ST AUGUSTINE FL
32084-9231
US

IV. Provider business mailing address

64 MANGO GROVE CT
ST AUGUSTINE FL
32084-9231
US

V. Phone/Fax

Practice location:
  • Phone: 305-984-2987
  • Fax: 305-402-0125
Mailing address:
  • Phone: 305-984-2987
  • Fax: 305-402-0125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: