Provider Demographics
NPI:1508430844
Name:ESPINOSA SIVERIO, AMPARO
Entity type:Individual
Prefix:
First Name:AMPARO
Middle Name:
Last Name:ESPINOSA SIVERIO
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 1:8251 SW 152ND AVENUE CIR # G-312
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-1372
Mailing Address - Country:US
Mailing Address - Phone:305-879-8755
Mailing Address - Fax:
Practice Address - Street 1:8251 SW 152ND AVENUE CIR # G-312
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-1372
Practice Address - Country:US
Practice Address - Phone:305-879-8755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-19
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-128218106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician