Provider Demographics
NPI:1780312207
Name:MUINO, ALBERTO
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:
Last Name:MUINO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 SW 8TH ST UNIT 2204
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-3794
Mailing Address - Country:US
Mailing Address - Phone:305-697-8240
Mailing Address - Fax:786-701-0123
Practice Address - Street 1:86 SW 8TH ST UNIT 2204
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-3794
Practice Address - Country:US
Practice Address - Phone:305-697-8240
Practice Address - Fax:786-701-0123
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-11
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-22-228482106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL115165000Medicaid