Provider Demographics
NPI:1457131757
Name:CASTRO TORRES, YOANYS
Entity Type:Individual
Prefix:
First Name:YOANYS
Middle Name:
Last Name:CASTRO TORRES
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 1:11491 NW 2ND ST APT 211
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-4958
Mailing Address - Country:US
Mailing Address - Phone:470-378-8900
Mailing Address - Fax:
Practice Address - Street 1:11491 NW 2ND ST APT 211
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-4958
Practice Address - Country:US
Practice Address - Phone:470-378-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician