Provider Demographics
NPI:1528589066
Name:ALBA SOSA, CLAUDIA
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:ALBA SOSA
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 1:3500 SW 122ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3022
Mailing Address - Country:US
Mailing Address - Phone:786-972-2501
Mailing Address - Fax:305-901-1797
Practice Address - Street 1:65821 OVERSEAS HMY #282
Practice Address - Street 2:
Practice Address - City:LONG KEY
Practice Address - State:FL
Practice Address - Zip Code:33001-3300
Practice Address - Country:US
Practice Address - Phone:786-333-9738
Practice Address - Fax:786-391-1680
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-06
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician