Provider Demographics
NPI:1891485397
Name:BORDA, CARINA ELISABET
Entity Type:Individual
Prefix:
First Name:CARINA
Middle Name:ELISABET
Last Name:BORDA
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 1:5900 NW 186TH ST APT 307
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-8031
Mailing Address - Country:US
Mailing Address - Phone:305-469-6203
Mailing Address - Fax:
Practice Address - Street 1:5900 NW 186TH ST APT 307
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-8031
Practice Address - Country:US
Practice Address - Phone:305-469-6203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty