Provider Demographics
NPI:1831956572
Name:FLORES AGUILERA, JENY ESPERANZA
Entity type:Individual
Prefix:
First Name:JENY
Middle Name:ESPERANZA
Last Name:FLORES AGUILERA
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 1:13001 SW 45TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-4501
Mailing Address - Country:US
Mailing Address - Phone:305-801-6110
Mailing Address - Fax:
Practice Address - Street 1:13001 SW 45TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-4501
Practice Address - Country:US
Practice Address - Phone:305-801-6110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician