Provider Demographics
NPI:1689283038
Name:ALFONSO FIGUEIRA, YOLBER
Entity Type:Individual
Prefix:
First Name:YOLBER
Middle Name:
Last Name:ALFONSO FIGUEIRA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1763 W 59TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7900
Mailing Address - Country:US
Mailing Address - Phone:786-676-1856
Mailing Address - Fax:
Practice Address - Street 1:1763 W 59TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7900
Practice Address - Country:US
Practice Address - Phone:786-676-1856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-30
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-129784106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician