MEDICARE: DR. RAQUEL LLOBERA-BUNCE PH.D.

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
1	103TC0700X	Clinical Psychologist	PY 5635	FL

General Provider Information

NPI Number	:	1083701791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAQUEL LLOBERA-BUNCE PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 560095
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33256-0095
Country	:	US
Telephone Number	:	305-790-3932
Fax Number	:

Provider Business Practice Location Address
First Line	:	8333 W OKECHOBE RD
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2109
Country	:	US
Telephone Number	:	305-556-9900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	03/02/2023

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