Provider Demographics
NPI:1740893031
Name:SANABRIA ALARCON, IVET
Entity type:Individual
Prefix:
First Name:IVET
Middle Name:
Last Name:SANABRIA ALARCON
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 1:20907 SW 118TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-7026
Mailing Address - Country:US
Mailing Address - Phone:786-326-8712
Mailing Address - Fax:
Practice Address - Street 1:20907 SW 118TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-7026
Practice Address - Country:US
Practice Address - Phone:786-326-8712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty