Provider Demographics
NPI:1154117240
Name:AQUINO BRITOS, TAMARA AYLEN
Entity type:Individual
Prefix:MISS
First Name:TAMARA
Middle Name:AYLEN
Last Name:AQUINO BRITOS
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 1:5161 COLLINS AVE APT 602
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2719
Mailing Address - Country:US
Mailing Address - Phone:786-722-8630
Mailing Address - Fax:
Practice Address - Street 1:5161 COLLINS AVE APT 602
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2719
Practice Address - Country:US
Practice Address - Phone:786-722-8630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty