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NPI Code Detail

MEDICARE: LUIS JAVIER JUNCO PEREZ

MEDICARE: LUIS JAVIER JUNCO PEREZ
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 TechnicianRBT-24-328915FL

General Provider Information

NPI Number : 1194582510
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS JAVIER JUNCO PEREZ
Provider Business Mailing Address
First Line : 14645 SW 96TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33186-6912
Country : US
Telephone Number : 305-915-1794
Fax Number :
Provider Business Practice Location Address
First Line : 2615 FAIRWAYS DR
Second Line :
City : HOMESTEAD
State : FL
Zip : 33035-1173
Country : US
Telephone Number : 786-224-4525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2024
Last Update Date : 03/08/2024

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Directions to “ LUIS JAVIER JUNCO PEREZ ” Practice Location

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