Provider Demographics
NPI:1619324621
Name:LAMAR, CARIDAD YAMILA
Entity Type:Individual
Prefix:
First Name:CARIDAD
Middle Name:YAMILA
Last Name:LAMAR
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 1:1716 W 58TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6896
Mailing Address - Country:US
Mailing Address - Phone:786-436-1342
Mailing Address - Fax:
Practice Address - Street 1:1716 W 58TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-6896
Practice Address - Country:US
Practice Address - Phone:786-436-1342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-19
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician