DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RICHARD T LICUDINE

MEDICARE: RICHARD T LICUDINE
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
1373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1093646192
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD T LICUDINE
Provider Business Mailing Address
First Line : 202 N 8TH ST FL 3
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-2302
Country : US
Telephone Number : 442-265-1586
Fax Number :
Provider Business Practice Location Address
First Line : 202 N 8TH ST FL 3
Second Line :
City : EL CENTRO
State : CA
Zip : 92243-2302
Country : US
Telephone Number : 442-265-1586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

Similar Medicare Providers

1013804574 — JESSICA AILENE TOLEDO
Practice Location Address:
202 N 8TH ST
EL CENTRO, CA
92243-2302
Practice Phone: 442-265-1525
Practice Fax:
1760107486 — ELISA M JAIME
Practice Location Address:
202 N 8TH ST
EL CENTRO, CA
92243-2302
Practice Phone: 442-265-1525
Practice Fax:
1598696775 — DAVID OMAR MAGANA
Practice Location Address:
202 N 8TH ST
EL CENTRO, CA
92243-2302
Practice Phone: 442-265-1586
Practice Fax:
1154202695 — ADRIAN CELIS
Practice Location Address:
202 N 8TH ST
EL CENTRO, CA
92243-2302
Practice Phone: 442-265-1525
Practice Fax:
1134050248 — ADAN ABEL MARTINEZ
Practice Location Address:
202 N 8TH ST
EL CENTRO, CA
92243-2302
Practice Phone: 442-265-1525
Practice Fax:
1396676458 — PETE SERNA JR.
Practice Location Address:
202 N 8TH ST FL 3
EL CENTRO, CA
92243-2302
Practice Phone: 442-265-1586
Practice Fax:

Directions to “ RICHARD T LICUDINE ” Practice Location

Language Start Address Practice Location
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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.