Healthcare Provider Details

I. General information

NPI: 1487599361
Provider Name (Legal Business Name): HEISY FUENTES FIGUEREDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17125 N BAY RD APT 3210
SUNNY ISLES BEACH FL
33160-3448
US

IV. Provider business mailing address

17125 N BAY RD APT 3210
SUNNY ISLES BEACH FL
33160-3448
US

V. Phone/Fax

Practice location:
  • Phone: 305-890-0890
  • Fax:
Mailing address:
  • Phone: 305-890-0890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-529353
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: