Provider Demographics
NPI:1972017713
Name:CASAS NAVARRO, LUISA NORMA
Entity Type:Individual
Prefix:
First Name:LUISA
Middle Name:NORMA
Last Name:CASAS NAVARRO
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 1:9839 NW 128TH LN
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-7449
Mailing Address - Country:US
Mailing Address - Phone:305-778-0064
Mailing Address - Fax:
Practice Address - Street 1:9839 NW 128TH LN
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-7449
Practice Address - Country:US
Practice Address - Phone:305-778-0064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-30
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician