Provider Demographics
NPI:1184216558
Name:BRITO, ERIKA INMACULADA
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:INMACULADA
Last Name:BRITO
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 1:11914 SW 247TH TER
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:FL
Mailing Address - Zip Code:33032-3029
Mailing Address - Country:US
Mailing Address - Phone:786-816-7440
Mailing Address - Fax:
Practice Address - Street 1:12540 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-1412
Practice Address - Country:US
Practice Address - Phone:305-705-6840
Practice Address - Fax:786-655-0185
Is Sole Proprietor?:No
Enumeration Date:2021-02-08
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCBHCMS0102587OtherFL CERTIFICATION BOARD