Provider Demographics
NPI:1689433310
Name:SUAREZ CABRERA, NAIVYS
Entity Type:Individual
Prefix:
First Name:NAIVYS
Middle Name:
Last Name:SUAREZ CABRERA
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 1:366 SOUTHERN CHARM DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-5058
Mailing Address - Country:US
Mailing Address - Phone:305-812-4308
Mailing Address - Fax:
Practice Address - Street 1:366 SOUTHERN CHARM DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-5058
Practice Address - Country:US
Practice Address - Phone:305-812-4308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician