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NPI Code Detail

MEDICARE: SUSET ROMERO MADERA

MEDICARE:   SUSET  ROMERO MADERA
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 Technician
2106E00000XAssistant Behavior AnalystFL

Other Identifiers

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

General Provider Information

NPI Number : 1225543994
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSET ROMERO MADERA
Provider Business Mailing Address
First Line : 15480 SW 59TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33193-2824
Country : US
Telephone Number : 786-675-8561
Fax Number :
Provider Business Practice Location Address
First Line : 15480 SW 59TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33193-2824
Country : US
Telephone Number : 786-675-8561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2017
Last Update Date : 03/29/2021

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Directions to “ SUSET ROMERO MADERA ” 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.