Provider Demographics
NPI:1457074577
Name:NAVARRO, LILIANA DEL CARMEN
Entity Type:Individual
Prefix:MISS
First Name:LILIANA
Middle Name:DEL CARMEN
Last Name: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 1:13360 TWINWOOD LN APT 2205
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-5569
Mailing Address - Country:US
Mailing Address - Phone:786-865-8880
Mailing Address - Fax:
Practice Address - Street 1:13360 TWINWOOD LN APT 2205
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-5569
Practice Address - Country:US
Practice Address - Phone:786-865-8880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22217644106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician