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NPI Code Detail

MEDICARE: BEATRIZ TRETO MEDINA

MEDICARE:   BEATRIZ  TRETO MEDINA
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 TechnicianBACB1241184FL

General Provider Information

NPI Number : 1063355048
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEATRIZ TRETO MEDINA
Provider Business Mailing Address
First Line : 2816 W COMANCHE AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-6008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2816 W COMANCHE AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-6008
Country : US
Telephone Number : 813-420-0201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ BEATRIZ TRETO MEDINA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.