Provider Demographics
NPI:1326930298
Name:CORVETTO, NATALIA NOEMI
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:NOEMI
Last Name:CORVETTO
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 NE 183RD ST APT 1805W
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2133
Mailing Address - Country:US
Mailing Address - Phone:305-788-5031
Mailing Address - Fax:
Practice Address - Street 1:3911 SW 56TH CT
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6227
Practice Address - Country:US
Practice Address - Phone:305-988-5115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician