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NPI Code Detail

MEDICARE: STEPHANIE YASMIN TRUEBA PT,DPT

MEDICARE: STEPHANIE YASMIN TRUEBA PT,DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician44436FL

General Provider Information

NPI Number : 1033062666
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE YASMIN TRUEBA PT,DPT
Provider Business Mailing Address
First Line : 8430 W 40TH AVE APT E307
Second Line :
City : HIALEAH
State : FL
Zip : 33018-2304
Country : US
Telephone Number : 786-357-3119
Fax Number :
Provider Business Practice Location Address
First Line : 12543 MIRAMAR PKWY BAY 108
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-2909
Country : US
Telephone Number : 754-764-7490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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