Carolina Gomez-lostalo, MS is a
Behavior Technician based in Miami, Florida. Carolina Gomez-lostalo is licensed to practice in Florida (license number BACB715333) and her current practice location is
13155 Sw 134th St Ste 207, Miami, Florida. She can be reached at her office (for appointments etc.) via phone at
(786) 842-3624.
NPI number for Carolina Gomez-lostalo is 1417615121 and her current mailing address is 25060 Sw 121st Pl, Homestead, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417615121.
Healthcare Provider's Profile
Full Name | Carolina Gomez-lostalo |
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Gender | Female |
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Speciality | Behavior Technician |
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Location | 13155 Sw 134th St Ste 207, Miami, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417615121
- Provider Enumeration Date: 11/30/2021
- Last Update Date: 08/03/2023
Medical Identifiers
Medical identifiers for Carolina Gomez-lostalo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417615121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Florida) | Secondary |
106S00000X | Behavior Technician | BACB715333 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolina Gomez-lostalo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carolina Gomez-lostalo, MS 25060 Sw 121st Pl, Homestead, FL 33032-5985 Ph: (786) 873-9922 | Carolina Gomez-lostalo, MS 13155 Sw 134th St Ste 207, Miami, FL 33186-4488 Ph: (786) 842-3624 |
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