Provider Demographics
NPI:1275320863
Name:ALSINA CAMPS, JOSE
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:
Last Name:ALSINA CAMPS
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 1:6215 W 20TH AVE APT 414
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6057
Mailing Address - Country:US
Mailing Address - Phone:786-340-1282
Mailing Address - Fax:
Practice Address - Street 1:6215 W 20TH AVE APT 414
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-6057
Practice Address - Country:US
Practice Address - Phone:786-340-1282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-429363106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty