Provider Demographics
NPI:1033769864
Name:AMADOR, CAMILA DE LA CARIDAD
Entity Type:Individual
Prefix:
First Name:CAMILA
Middle Name:DE LA CARIDAD
Last Name:AMADOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1385 W 5TH LN
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-2938
Mailing Address - Country:US
Mailing Address - Phone:786-907-0637
Mailing Address - Fax:
Practice Address - Street 1:1385 W 5TH LN
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-2938
Practice Address - Country:US
Practice Address - Phone:786-907-0637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician