Provider Demographics
NPI:1265227557
Name:ANTUNA DE ARMAS, JAVIER
Entity type:Individual
Prefix:
First Name:JAVIER
Middle Name:
Last Name:ANTUNA DE ARMAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18317 SW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-4305
Mailing Address - Country:US
Mailing Address - Phone:954-240-7051
Mailing Address - Fax:
Practice Address - Street 1:18317 SW 4TH ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-4305
Practice Address - Country:US
Practice Address - Phone:954-240-7051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician