Provider Demographics
NPI:1285510032
Name:URDANETA STANCO, ANDREA CAROLINA
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:CAROLINA
Last Name:URDANETA STANCO
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 1:2805 W 14TH AVE APT 27
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-1040
Mailing Address - Country:US
Mailing Address - Phone:786-586-1501
Mailing Address - Fax:786-587-5101
Practice Address - Street 1:2805 W 14TH AVE APT 27
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-1040
Practice Address - Country:US
Practice Address - Phone:786-586-1501
Practice Address - Fax:786-587-5101
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician