Provider Demographics
NPI:1578323895
Name:TORRES GRANDA, CINDY MARCELA
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:MARCELA
Last Name:TORRES GRANDA
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 1:10018 HAMMOCKS BLVD UNIT 208-5
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-4710
Mailing Address - Country:US
Mailing Address - Phone:786-614-7216
Mailing Address - Fax:
Practice Address - Street 1:10018 HAMMOCKS BLVD UNIT 208-5
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-4710
Practice Address - Country:US
Practice Address - Phone:786-614-7216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-272470106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician