Provider Demographics
NPI:1689304446
Name:NAVARRO, LORENA I (CBHCM)
Entity Type:Individual
Prefix:MRS
First Name:LORENA
Middle Name:
Last Name:NAVARRO
Suffix:I
Gender:F
Credentials:CBHCM
Other - Prefix:MR
Other - First Name:LORENA
Other - Middle Name:
Other - Last Name:NAVARRO
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:LORENA NAVARRO
Mailing Address - Street 1:12406 SW 125TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5587
Mailing Address - Country:US
Mailing Address - Phone:786-222-0766
Mailing Address - Fax:
Practice Address - Street 1:12406 SW 125TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5587
Practice Address - Country:US
Practice Address - Phone:786-222-0766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCBHCM104192171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator