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NPI Code Detail

MEDICARE: DINELLA ALICIA VALDES MARTINEZ

MEDICARE:   DINELLA ALICIA VALDES MARTINEZ
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
1106S00000XBehavior TechnicianFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043091895
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINELLA ALICIA VALDES MARTINEZ
Provider Business Mailing Address
First Line : 7005 FORESTVIEW CT
Second Line :
City : TAMPA
State : FL
Zip : 33634-2225
Country : US
Telephone Number : 813-327-2194
Fax Number :
Provider Business Practice Location Address
First Line : 7005 FORESTVIEW CT
Second Line :
City : TAMPA
State : FL
Zip : 33634-2225
Country : US
Telephone Number : 813-327-2194
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2023
Last Update Date : 10/09/2023

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Directions to “ DINELLA ALICIA VALDES MARTINEZ ” Practice Location

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