Provider Demographics
NPI: | 1487812525 |
---|---|
Name: | ALMAGRO, FRANCISCO (BS) |
Entity type: | Individual |
Prefix: | |
First Name: | FRANCISCO |
Middle Name: | |
Last Name: | ALMAGRO |
Suffix: | |
Gender: | M |
Credentials: | BS |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 24631 SW 114TH PL |
Mailing Address - Street 2: | |
Mailing Address - City: | HOMESTEAD |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33032-4705 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 786-624-1303 |
Mailing Address - Fax: | 305-248-6558 |
Practice Address - Street 1: | 654 NE 9TH PL |
Practice Address - Street 2: | |
Practice Address - City: | HOMESTEAD |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33030-4934 |
Practice Address - Country: | US |
Practice Address - Phone: | 305-248-3488 |
Practice Address - Fax: | 305-248-6558 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2008-05-27 |
Last Update Date: | 2018-04-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | MH10407 | 101YM0800X, 103K00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
FL | 008299800 | Medicaid | |
FL | MH10407 | Other | FLORIDA DEPARTMENT OF HEALTH |
FL | 017433300 | Medicaid |