Provider Demographics
NPI:1194521088
Name:CASTELLANOS, ROSABEL DE LA CARIDAD I (RC)
Entity type:Individual
Prefix:MRS
First Name:ROSABEL
Middle Name:DE LA CARIDAD
Last Name:CASTELLANOS
Suffix:I
Gender:
Credentials:RC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 NW 40TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5514
Mailing Address - Country:US
Mailing Address - Phone:786-824-6478
Mailing Address - Fax:
Practice Address - Street 1:760 NW 40TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5514
Practice Address - Country:US
Practice Address - Phone:786-824-6478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-404061106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician