MEDICARE: MARIO DAVID ARCE VEIGA

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	106S00000X	Behavior Technician

Other Identifiers

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

General Provider Information

NPI Number	:	1205524964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIO DAVID ARCE VEIGA

Provider Business Mailing Address
First Line	:	20114 SW 123RD DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-5200
Country	:	US
Telephone Number	:	786-307-1932
Fax Number	:

Provider Business Practice Location Address
First Line	:	20114 SW 123RD DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-5200
Country	:	US
Telephone Number	:	786-307-1932
Fax Number	:

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

Provider Enumeration Date	:	04/28/2023
Last Update Date	:	04/28/2023

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Directions to “ MARIO DAVID ARCE VEIGA ” Practice Location

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