Provider Demographics
NPI:1265184022
Name:ALVAREZ FRIGOLA, MARIA TERESA (CBHCM, CBHCMS, RBT)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:TERESA
Last Name:ALVAREZ FRIGOLA
Suffix:
Gender:F
Credentials:CBHCM, CBHCMS, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15586 SW 138TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-1180
Mailing Address - Country:US
Mailing Address - Phone:305-812-5514
Mailing Address - Fax:
Practice Address - Street 1:7971 BIRD RD STE 22-23
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6749
Practice Address - Country:US
Practice Address - Phone:305-812-5514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-24
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
FLP102151171M00000X
FLRBT-25-456368106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator