Provider Demographics
NPI:1801770375
Name:RABEIRO ALONSO, JENNY DE LA CARIDAD
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:DE LA CARIDAD
Last Name:RABEIRO ALONSO
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 1:3606 NW 5TH AVE APT 1303
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127-3174
Mailing Address - Country:US
Mailing Address - Phone:305-582-1121
Mailing Address - Fax:
Practice Address - Street 1:3606 NW 5TH AVE APT 1303
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-3174
Practice Address - Country:US
Practice Address - Phone:305-582-1121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-440580106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician