MEDICARE: LIA DEL CASTILLO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1114886769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIA DEL CASTILLO

Provider Business Mailing Address
First Line	:	11729 SW 91ST TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-2160
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10700 CARIBBEAN BLVD STE 310
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33189-1233
Country	:	US
Telephone Number	:	786-645-1606
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ LIA DEL CASTILLO ” Practice Location

Language	Start Address	Practice Location

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