Individual
ALVARO MIRANDA PONTIGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5940 NW 192ND ST, HIALEAH, FL 33015-5024
(786) 620-5463
Mailing address
5940 NW 192ND ST, HIALEAH, FL 33015-5024
(786) 620-5463
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-439375
FL
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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