Provider Demographics
NPI:1225488273
Name:BROCHE CASTRO, CLAUDIA
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:BROCHE CASTRO
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 1:385 SW 37TH AVE
Mailing Address - Street 2:APTO 5
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2577
Mailing Address - Country:US
Mailing Address - Phone:786-247-8298
Mailing Address - Fax:
Practice Address - Street 1:385 SW 37TH AVE
Practice Address - Street 2:APTO 5
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2577
Practice Address - Country:US
Practice Address - Phone:786-247-8298
Practice Address - Fax:305-742-2190
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-20
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician