Provider Demographics
NPI:1336661669
Name:LLORENTE FERRO, LAURA
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:LLORENTE FERRO
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 1:2407 W 70TH PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5442
Mailing Address - Country:US
Mailing Address - Phone:786-340-7668
Mailing Address - Fax:
Practice Address - Street 1:2407 W 70TH PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5442
Practice Address - Country:US
Practice Address - Phone:786-340-7668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-07
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician