Provider Demographics
NPI:1215449426
Name:BORGES, CELIA (FMD)
Entity type:Individual
Prefix:
First Name:CELIA
Middle Name:
Last Name:BORGES
Suffix:
Gender:F
Credentials:FMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6215 W 22ND CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-6941
Mailing Address - Country:US
Mailing Address - Phone:786-623-8989
Mailing Address - Fax:
Practice Address - Street 1:751 NW 134TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33182-1864
Practice Address - Country:US
Practice Address - Phone:786-229-2423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-27
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty