Provider Demographics
NPI:1376976720
Name:ASPILLAGA NAVARRO, FLORENTINO (OTR)
Entity Type:Individual
Prefix:
First Name:FLORENTINO
Middle Name:
Last Name:ASPILLAGA NAVARRO
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 W 56TH ST APT 1321
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-4769
Mailing Address - Country:US
Mailing Address - Phone:786-447-2132
Mailing Address - Fax:
Practice Address - Street 1:2500 W 56TH ST APT 1321
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-4769
Practice Address - Country:US
Practice Address - Phone:786-447-2132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-20
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA12139224Z00000X
FLOT20154225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant