Provider Demographics
NPI:1306636626
Name:ALFONSO CABALLERO, MELANY
Entity type:Individual
Prefix:
First Name:MELANY
Middle Name:
Last Name:ALFONSO CABALLERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 E 33RD ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-3216
Mailing Address - Country:US
Mailing Address - Phone:786-548-6230
Mailing Address - Fax:
Practice Address - Street 1:121 E 33RD ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3216
Practice Address - Country:US
Practice Address - Phone:786-548-6230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician