Provider Demographics
NPI:1902504228
Name:NAVAS, INGRID X
Entity Type:Individual
Prefix:MRS
First Name:INGRID
Middle Name:X
Last Name:NAVAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24905 SW 127TH CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-9091
Mailing Address - Country:US
Mailing Address - Phone:786-379-1016
Mailing Address - Fax:
Practice Address - Street 1:24905 SW 127TH CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-9091
Practice Address - Country:US
Practice Address - Phone:786-379-1016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist