Provider Demographics
NPI:1407738073
Name:HIDALGO PARRA, KAREL ALBERTO
Entity type:Individual
Prefix:
First Name:KAREL
Middle Name:ALBERTO
Last Name:HIDALGO PARRA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23065 SW 113TH PSGE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33170-7572
Mailing Address - Country:US
Mailing Address - Phone:786-820-0371
Mailing Address - Fax:
Practice Address - Street 1:23065 SW 113TH PSGE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33170-7572
Practice Address - Country:US
Practice Address - Phone:786-820-0371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-23
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-435445106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician