Provider Demographics
NPI:1134640642
Name:CABRERA FESTARY, ALINA
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:CABRERA FESTARY
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 1:5311 NW 170TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-4060
Mailing Address - Country:US
Mailing Address - Phone:786-412-0446
Mailing Address - Fax:
Practice Address - Street 1:9719 NW 127TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-7403
Practice Address - Country:US
Practice Address - Phone:786-412-0446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-06
Last Update Date:2022-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty